Organization
MOSES CARE CORP.
Active
Other names
Moses Care Corp
Organization subpart
No
Provider details
NPI number
Authorized official
MOSES PARK (ADMINISTRATOR)
(678) 863-1232
Entity
Organization
Contact information
Practice address
2607 RHONDA CT, DULUTH, GA 30096-4128
(678) 863-1232
Mailing address
2607 RHONDA CT, DULUTH, GA 30096-4128
(678) 863-1232
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHCP010886
HFRD
GA
Enumeration date
02/06/2022
Last updated
02/06/2022
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