Provider Demographics
NPI:1780268334
Name:MOXEY'S LEARNING CENTER LLC
Entity type:Organization
Organization Name:MOXEY'S LEARNING CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CLINTON
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:MOXEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-750-1353
Mailing Address - Street 1:561 KEYSTONE AVE # 308
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-4304
Mailing Address - Country:US
Mailing Address - Phone:775-622-8008
Mailing Address - Fax:
Practice Address - Street 1:455 DORI BELL LN
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89523-9501
Practice Address - Country:US
Practice Address - Phone:775-750-1353
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-10
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care