Organization
MOSV INC
Active
Parent organization
MOSV INC
Other names
Fountain of Life Adult Activity Center #1
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOSV INC
Authorized official
ORALIA GARZA (PRESIDENT)
(956) 212-2379
Entity
Organization
Contact information
Practice address
1720 PARKWAY DR, LUBBOCK, TX 79403-4404
(806) 771-7953
(806) 771-7993
Mailing address
2308 SILVERADO N, MISSION, TX 78573-8470
(956) 212-2379
(956) 992-9192
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
131724
TX
Other
Enumeration date
02/07/2012
Last updated
01/08/2019
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