Healthcare Provider Details

I. General information

NPI: 1679029821
Provider Name (Legal Business Name): MOSLEY GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2016
Last Update Date: 12/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7208 CHESTNUT AVE 1
MELROSE PARK PA
19027
US

IV. Provider business mailing address

7208 CHESTNUT AVE FIRST FLOOR
MELROSE PARK PA
19027
UM

V. Phone/Fax

Practice location:
  • Phone: 215-588-4425
  • Fax: 215-635-1345
Mailing address:
  • Phone: 267-307-8765
  • Fax: 215-331-2000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number31853601
License Number StatePA

VIII. Authorized Official

Name: MS. NOEL C MOSLEY
Title or Position: OWNER/OPERATOR
Credential: PRESIDENT
Phone: 267-307-8765