# MOON HOME CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679342232
- **Authorized official:** MOHAMMAD SHAMSU UDDIN (PRESIDENT)
- **Authorized official phone:** (347) 996-8611

## Contact information

- **Practice address:** 330 LYNNWAY UNIT 470H, LYNN, MA 01901-1706
- **Practice address phone:** (347) 996-8611
- **Mailing address:** 330 LYNNWAY UNIT 470H, LYNN, MA 01901-1706
- **Mailing address phone:** (347) 996-8611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/25/2023
- **Last updated:** 12/25/2023