To the Moon & Back

NPI #1336727429 in Venus, Texas

Provider Information

NPI Number
1336727429
Entity Type
Organization
Organization Name
To the Moon & Back
Primary Specialty
Clinic/Center - Adult Day Care
Enumeration Date
Mar 30, 2021
Last Updated
Mar 30, 2021

Practice Location

Address
103 KENNEDY DR
City
Venus
State
Texas
ZIP Code
76084-1130
Phone
(937) 520-9206

Authorized Official

Name
JETTAH HILL
Title
OWNER
Phone
(937) 520-9206

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adult Day CareAdult Day Care

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