Individual
MEHRY LYN MOSES
Active
Individual
MEHRY LYN MOSES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLS
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
347C00000X
Private Vehicle
—
—
376J00000X
Homemaker
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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