Willie Moore

Case Manager/Care Coordinator · Vallejo, CA

Individual Active NPI

NPI number 1710048913

Practice location

1027 Alabama St
Vallejo, CA 94590-4511
Phone
(707) 558-1600
Fax
(707) 558-1606

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NPI record

NPI
1710048913
Entity type
Individual (Type 1)
Enumeration date
December 12, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X — —

Mailing address

1132 Cinnabar Way
Vacaville, CA 95687-7834
Phone
(707) 558-1600
Fax
(707) 558-1606

About Willie Moore

Willie Moore is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 1027 Alabama St, Vallejo, CA 94590-4511. The NPI number 1710048913 was assigned on December 12, 2006 and the record was last updated on July 8, 2007.

Frequently asked questions

What is the NPI number of Willie Moore?

The NPI number is 1710048913.

What is the phone number of Willie Moore?

The phone number listed for the practice location is (707) 558-1600.

Where is Willie Moore located?

1027 Alabama St, Vallejo, CA 94590-4511.

What is the taxonomy code for Willie Moore?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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