Organization
MOONLIGHT CONVALESCENCE CARE LLC
Active
Other names
Moonlight Convalescence Care LLC, Moonlight Convalescence Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAHAB OLAIYA ALABI (CO-OWNER)
(971) 348-1411
Entity
Organization
Contact information
Practice address
11111 BISSONNET ST STE A, HOUSTON, TX 77099-2045
(971) 348-1411
Mailing address
11111 BISSONNET ST STE A, HOUSTON, TX 77099-2045
(971) 348-1411
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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