Delena Renee Moore
Delena Renee Moore is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Kalamazoo, Michigan. Practices as a sole proprietor. Licensed in Michigan.
- Licensed in
- MI
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
722 N Edwards StKalamazoo, MI 49007-3505
Phone: (269) 363-6137
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Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X · Licence AS390367863 (MI) |
|---|---|
| Physical Disabilities Residential Treatment Facility | Taxonomy 320700000X · Licence AS390367863 (MI) |
Record details
| NPI number | 1073997508 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 15, 2015 |
| Last updated in NPPES | July 15, 2015 |
| Mailing address | 722 N Edwards St, Kalamazoo, MI 49007-3505 |
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