Dalena S Moman
Dalena S Moman is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Kalamazoo, Michigan. Practices as a sole proprietor. Licensed in Michigan.
- Licensed in
- MI
- In the registry since
- 2008
Practice location Address checks out
1022 Royce AveKalamazoo, MI 49001-4993
Phone: (269) 343-8480
Fax: (269) 343-5773
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X · Licence AF390069743 (MI) |
|---|
Record details
| NPI number | 1295999894 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 12, 2008 |
| Last updated in NPPES | July 12, 2008 |
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