Provider Demographics
NPI:1053447516
Name:MOSV INC
Entity Type:Organization
Organization Name:MOSV INC
Other - Org Name:LA VICTORIA ADULT DAY CARE CENTER #3
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ORALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-212-2379
Mailing Address - Street 1:2308 SILVERADO NORTH
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78573-8470
Mailing Address - Country:US
Mailing Address - Phone:956-212-2379
Mailing Address - Fax:956-992-9192
Practice Address - Street 1:3131 WILSON RD
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78552-5012
Practice Address - Country:US
Practice Address - Phone:956-440-1907
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2011-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX117280261QA0600X
TX117305261QA0600X
TX104610261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care