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Rashad J Moore

Case Manager/Care Coordinator in Jackson, MS. Individual provider (NPI-1).

NPI number1316662000
StatusActive
Last updated in NPPESOct 5, 2022

Details

NPI
1316662000
Entity type
Individual (NPI-1)
Name
Rashad J Moore
Sex
Male
Sole proprietor
No
Enumeration date
Oct 5, 2022
Certification date
Oct 5, 2022
Last updated
Oct 5, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

4780 I 55 N Ste 105
Jackson, MS 39211-5542

Phone 601-956-4816 · Fax 601-956-4817

Mailing address

4780 I 55 N Ste 105
Jackson, MS 39211-5542

Phone 601-956-4816 · Fax 601-956-4817

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