Individual
DIANE LEE MOSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1821 SANTA ANNA DR, GARLAND, TX 75042-5057
(469) 363-9953
Mailing address
1821 SANTA ANNA DR, GARLAND, TX 75042-5057
(469) 363-9953
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3747A0650X
Attendant Care Provider
—
—
Other
Enumeration date
06/09/2020
Last updated
10/21/2022
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