Provider Demographics
NPI:1679029821
Name:MOSLEY GROUP INC
Entity Type:Organization
Organization Name:MOSLEY GROUP INC
Other - Org Name:FAMILY FIRST HEALTHCARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NOEL
Authorized Official - Middle Name:C
Authorized Official - Last Name:MOSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:PRESIDENT
Authorized Official - Phone:267-307-8765
Mailing Address - Street 1:7208 CHESTNUT AVE
Mailing Address - Street 2:FIRST FLOOR
Mailing Address - City:MELROSE PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027
Mailing Address - Country:UM
Mailing Address - Phone:267-307-8765
Mailing Address - Fax:215-331-2000
Practice Address - Street 1:7208 CHESTNUT AVE
Practice Address - Street 2:1
Practice Address - City:MELROSE PARK
Practice Address - State:PA
Practice Address - Zip Code:19027
Practice Address - Country:US
Practice Address - Phone:215-588-4425
Practice Address - Fax:215-635-1345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-28
Last Update Date:2016-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA31853601251E00000X
PA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health