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Mr. Kenneth Doral Moore JR.
Home Health Aide in Garfield Heights, Ohio
NPI 1659040889

Kenneth Doral Moore JR. is a Home Health Aide based in Garfield Heights, OH. Kenneth Doral Moore JR. practices in Garfield Heights, OH. The NPI Number for Kenneth Doral Moore JR. is 1659040889 and holds a License No. (Ohio).

The current practice location address for Kenneth Doral Moore JR. is 12320 Thraves Ave, Garfield Heights, OH and can be reached out via phone at 216-242-7465.

Location: 12320 Thraves Ave, Garfield Heights, OH, 44125-4308
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659040889
Provider Name
Kenneth Doral Moore JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
12320 Thraves Ave, Garfield Heights, OH, 44125-4308
Phone Number
216-242-7465
Fax Number
Provider Enumeration Date
09/10/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12320 Thraves Ave
City
Garfield Heights
State
Ohio
Zip
44125-4308
Phone Number
216-242-7465
Fax Number
person
Provider Business Mailing Address Details
Address
12320 Thraves Ave
City
Garfield Heights
State
Ohio
Zip
44125-4308
Phone Number
216-242-7465
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Home Health Aide
Speciality
-
Taxonomy
374U00000X
License No.
()
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
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