| Organization Name: | MOSES HOME, INC. |
| NPI Number: | 1033458609 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KATHERINE RUBIN (OWNER/ADMINISTRATOR) |
| Mailing Address: | 114 Kenvilla Dr Tucker |
| State: | GA US |
| Postal Code: | 300841905 |
| Phone Number: | 4044297713 |
| Fax Number: | 8887781473 |
| NPI Enumeration Date: | 02/02/2013 |
| NPI Last Update Date: | 02/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 067-R-0949 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |