Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DELENA RENEE MOORE
Active Sole ProprietorDELENA RENEE MOORE is a Intellectual Disabilities Residential Treatment Facility healthcare provider located in KALAMAZOO, Michigan. NPI 1073997508 is currently active in the NPPES registry. Verify at CMS.
Intellectual Disabilities Residential Treatment Facility · KALAMAZOO, MI
Registration Details
- NPI Number
- 1073997508
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 15, 2015 (10.900007664237 yrs)
- Last Updated
- Jul 15, 2015
- Licenses
-
AS390367863 (MI)AS390367863 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
722 N EDWARDS STKALAMAZOO, MI, 490073505Browse MI providers · Browse ZIP 49007
- Phone
- 2693636137
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
- Additional Specialty
- Physical Disabilities Residential Treatment Facility
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.