Individual ProviderCorean MooreBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address20435 72nd Ave S Ste 302, Kent, WA 98032-2358(877) 264-6747PECOS EnrollmentBased on the most recent information from CMS, provider Corean Moore does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 35 days ago.Profile DetailsProvider ID1902641475Provider TypeIndividualFull NameMoore, CoreanGenderFemaleSole ProprietorNoEnumeration Date6/27/2024Last Updated6/27/2024Contact InformationPractice LocationPractice Address20435 72nd Ave S Ste 302, Kent, WA 98032-2358Phone(877) 264-6747FaxUnlisted FaxMailing LocationMailing Address295 89th St Ste 306, Daly City, CA 94015-1656Phone(877) 264-6747FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer