Organization
MOSS HOME HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE WARREN MOSS CHCE (ADMINISTRATOR)
(318) 628-5651
Entity
Organization
Contact information
Practice address
404 W MAIN ST, WINNFIELD, LA 71483-2722
(318) 628-5651
(318) 628-5685
Mailing address
PO BOX 271, WINNFIELD, LA 71483-0271
(318) 628-5651
(318) 628-5685
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
460
LA
Other
Enumeration date
01/10/2006
Last updated
08/27/2007
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