Most Relevant Information
Provider Data
| NPI Number: | 1003477464 |
| Provider Name: | RYAN C MOORE |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/26/2019 |
| Last Updated: | 06/26/2019 |
Provider Practice Location
3622 PROSPECT AVE E
CLEVELAND
OH
441152704
Practice Location Phone/Fax
| Phone: | 2164314600 |
| Fax: |
Provider Mailing Location
22639 EUCLID AVE
EUCLID
OH
441171622
Provider Mailing Phone/Fax
| Phone: | 2164041900 |
| Fax: |