Stacy Moore
Case Manager/Care Coordinator in Akron, OH. Individual provider (NPI-1).
NPI number1164083416
StatusActive
Last updated in NPPESJun 27, 2019
Details
- NPI
- 1164083416
- Entity type
- Individual (NPI-1)
- Name
- Stacy Moore
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 27, 2019
- Last updated
- Jun 27, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
1111 Packard DrAkron, OH 44320-3620
Phone 330-734-7977
Mailing address
1111 Packard DrAkron, OH 44320-3620
Phone 330-734-7977
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