Doctor Name: | JOYCE MOSS |
NPI Number: | 1992177307 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNA |
License Number: | |
Business Practice Address: | 9013 Mill Valley Cir Apt 182 Fort Worth, TX - 761204816 |
Business Phone Number: | 2146041285 |
Business Fax Number: | |
Mailing Address: | 9013 Mill Valley Cir Apt 182, FORT WORTH |
State: | TX |
Postal Code: | 761204816 |
Phone Number: | 2146041285 |
Fax Number: | |
NPI Enumeration Date: | 10/25/2015 |
NPI Last Update Date: | 10/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |