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NPI Code Detail

MEDICARE: MISS RICKSHA L MOORER

MEDICARE:  MISS RICKSHA L MOORER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1609450436
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS RICKSHA L MOORER
Provider Business Mailing Address
First Line : 2700 WASHINGTON AVE APT 901
Second Line :
City : CLEVELAND
State : OH
Zip : 44113-2627
Country : US
Telephone Number : 216-609-4309
Fax Number :
Provider Business Practice Location Address
First Line : 2700 WASHINGTON AVE APT 901
Second Line :
City : CLEVELAND
State : OH
Zip : 44113-2627
Country : US
Telephone Number : 216-609-4309
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2021
Last Update Date : 05/07/2021

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Directions to “ MISS RICKSHA L MOORER ” Practice Location

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