# MOA FAMILY CARE

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

## Provider details

- **NPI number:** 1932457629
- **Authorized official:** ANNA LIZETTE ANGAT (OWNER)
- **Authorized official phone:** (702) 505-1208

## Contact information

- **Practice address:** 6561 JENNY LAKE AVE, LAS VEGAS, NV 89110-4010
- **Practice address phone:** (702) 505-1208
- **Mailing address:** 6561 JENNY LAKE AVENUE, LAS VEGAS, NV 89110
- **Mailing address phone:** (702) 505-1208

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225400000X | Rehabilitation Practitioner | — | NULL | Yes |
| 225400000X | Rehabilitation Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/28/2012
- **Last updated:** 08/28/2012