DELENA RENEE MOORE NPI 1073997508

NPI Information

NPI: 1073997508
Provider Name: DELENA RENEE MOORE
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Individual
Address:
722 N EDWARDS ST
KALAMAZOO, MI
ZIP 49007
Phone: (269) 363-6137
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Delena Renee Moore is a residential treatment facility, intellectual and/or developmental disabilities in Kalamazoo, MI. The provider is 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. Delena Renee Moore NPI is 1073997508. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

722 N EDWARDS ST
KALAMAZOO, MI
ZIP 49007-505
Phone: (269) 363-6137

The enumeration date for this NPI number is 7/15/2015 and was last updated on 7/15/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320700000X	Residential Treatment Facility, Physical Disabilities		AS390367863	MICHIGAN	No
2	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		AS390367863	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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