Provider Demographics
NPI:1326224890
Name:SCHERRY MOSES
Entity Type:Organization
Organization Name:SCHERRY MOSES
Other - Org Name:SCHERRY'S ADULT DAY ACTIVITY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SCHERRY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MOSES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-337-3725
Mailing Address - Street 1:PO BOX 201602
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78220-8602
Mailing Address - Country:US
Mailing Address - Phone:210-337-3725
Mailing Address - Fax:
Practice Address - Street 1:552 S WW WHITE RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78220-1778
Practice Address - Country:US
Practice Address - Phone:210-337-3725
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-15
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX122069311Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility