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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DELENA RENEE MOORE

Active Sole Proprietor

DELENA 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 ST
KALAMAZOO, MI, 490073505
Browse MI providers · Browse ZIP 49007
Phone
2693636137
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.