MEDICARE: ALLISON MOSLEY

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	172A00000X	Driver
2	3747P1801X	Personal Care Attendant
3	376J00000X	Homemaker

General Provider Information

NPI Number	:	1902655319
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON MOSLEY

Provider Business Mailing Address
First Line	:	2442 LYNN AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45406-1922
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2442 LYNN AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45406-1922
Country	:	US
Telephone Number	:	937-601-8015
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2024
Last Update Date	:	05/16/2024

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Directions to “ ALLISON MOSLEY ” Practice Location

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