| NPI | 1841711546 |
|---|---|
| Other Name | MOSELLE HOME CARE |
| Entity Type | Organization |
| Authorized Contact | BRENT F BROOME Executive Director 601-596-3786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2021-10-07 |