Organization
MOAN CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABIMBOLA O SOMOYE (PROGRAM DIRECTOR)
(210) 378-1566
Entity
Organization
Contact information
Practice address
8122 CANYON WREN PARK # A, SAN ANTONIO, TX 78253-4079
(210) 378-1566
Mailing address
8122 CANYON WREN PARK # A, SAN ANTONIO, TX 78253-4079
(210) 378-1566
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NA
—
TX
Enumeration date
02/03/2022
Last updated
03/04/2025
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