TIMOTHY MOORE

BATON ROUGE, LA
NPI1689029506
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2016-04-28
Last Update Date2021-04-05
Business Address
TIMOTHY MOORE
2455 WOODDALE BLVD
BATON ROUGE, LA 70805-7569
Phone number: 225-922-3169
Mailing Address
TIMOTHY MOORE
PO BOX 66558
BATON ROUGE, LA 70896-6558
Phone number: 225-922-2700