Provider Demographics
NPI:1144567074
Name:MOSEHS HEALTH CARE AGENCY
Entity Type:Organization
Organization Name:MOSEHS HEALTH CARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MOSEH
Authorized Official - Middle Name:EMANUEL
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:JR
Authorized Official - Credentials:MA
Authorized Official - Phone:267-595-0051
Mailing Address - Street 1:4914 N 12TH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19141-3510
Mailing Address - Country:US
Mailing Address - Phone:267-595-0051
Mailing Address - Fax:
Practice Address - Street 1:4914 N 12TH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19141-3510
Practice Address - Country:US
Practice Address - Phone:267-595-0051
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-11
Last Update Date:2013-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health