Organization
MOON HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD SHAMSU UDDIN (PRESIDENT)
(347) 996-8611
Entity
Organization
Contact information
Practice address
330 LYNNWAY UNIT 470H, LYNN, MA 01901-1706
(347) 996-8611
Mailing address
330 LYNNWAY UNIT 470H, LYNN, MA 01901-1706
(347) 996-8611
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/25/2023
Last updated
12/25/2023
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