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Delena Renee Moore
Physical Disabilities Residential Treatment Facility in Kalamazoo, Michigan
NPI 1073997508

Delena Renee Moore is a Physical Disabilities Residential Treatment Facility based in Kalamazoo, MI. Delena Renee Moore practices in Kalamazoo, MI. The NPI Number for Delena Renee Moore is 1073997508 and holds a License No. AS390367863 (Michigan).

The current practice location address for Delena Renee Moore is 722 N Edwards St, Kalamazoo, MI and can be reached out via phone at 269-363-6137.

Location: 722 N Edwards St, Kalamazoo, MI, 49007-3505
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073997508
Provider Name
Delena Renee Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
722 N Edwards St, Kalamazoo, MI, 49007-3505
Phone Number
269-363-6137
Fax Number
Provider Enumeration Date
07/15/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
722 N Edwards St
City
Kalamazoo
State
Michigan
Zip
49007-3505
Phone Number
269-363-6137
Fax Number
person
Provider Business Mailing Address Details
Address
722 N Edwards St
City
Kalamazoo
State
Michigan
Zip
49007-3505
Phone Number
269-363-6137
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
AS390367863 (Michigan)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Physical Disabilities
Speciality
-
Taxonomy
320700000X
License No.
AS390367863 (Michigan)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
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