Provider Demographics
NPI:1497968853
Name:MOOON HEALTHCARE SERVICES, INC
Entity Type:Organization
Organization Name:MOOON HEALTHCARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CYRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:OTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-573-3950
Mailing Address - Street 1:10707 GLENFIELD CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-5826
Mailing Address - Country:US
Mailing Address - Phone:832-573-3950
Mailing Address - Fax:713-721-2684
Practice Address - Street 1:10707 GLENFIELD CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-5826
Practice Address - Country:US
Practice Address - Phone:832-573-3950
Practice Address - Fax:713-721-2684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health