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Organization
MOONLIGHT HEALTHCARE SERVICES INC.
Active
Organization
MOONLIGHT HEALTHCARE SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SIACHITEMA (ADMINISTRATOR)
(214) 405-4668
Entity
Organization
Contact information
Practice address
3729 TOWNE CROSSING BLVD APT 1914, MESQUITE, TX 75150-2735
(214) 405-4668
(214) 696-9863
Mailing address
3729 TOWNE CROSSING BLVD APT 1914, MESQUITE, TX 75150-2735
(214) 405-4668
(214) 696-9863
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/14/2009
Last updated
02/12/2009
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