Organization
MOSES HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHERINE RUBIN (OWNER/ADMINISTRATOR)
(404) 429-7713
Entity
Organization
Contact information
Practice address
114 KENVILLA DR, TUCKER, GA 30084-1905
(404) 429-7713
(888) 778-1473
Mailing address
114 KENVILLA DR, TUCKER, GA 30084-1905
(404) 429-7713
(888) 778-1473
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
067-R-0949
GA
Other
Enumeration date
02/02/2013
Last updated
02/02/2013
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