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NPI Code Detail

MEDICARE: MOKA HOMECARE LLC

MEDICARE: MOKA HOMECARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1851158836
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOKA HOMECARE LLC
Provider Business Mailing Address
First Line : 9431 E MEXICO AVE
Second Line :
City : DENVER
State : CO
Zip : 80247-3040
Country : US
Telephone Number : 720-933-9984
Fax Number :
Provider Business Practice Location Address
First Line : 9431 E MEXICO AVE
Second Line :
City : DENVER
State : CO
Zip : 80247-3040
Country : US
Telephone Number : 720-933-9984
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MALAK ELDIE
Credential :
Telephone Number : 720-933-9984
Provider Enumeration Date : 03/05/2024
Last Update Date : 12/04/2024

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Directions to “MOKA HOMECARE LLC ” Practice Location

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