Organization
MOONLIGHT CONVALESCENCE CARE LLC
Active
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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