DELENA RENEE MOORE

KALAMAZOO, MI
NPI1073997508
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities
(Licence: MI  AS390367863)
Additional Taxonomies320700000X Residential Treatment Facility, Physical Disabilities
(Licence: MI  AS390367863)
Enumeration Date2015-07-15
Last Update Date2015-07-15
Business Address
-- DELENA RENEE MOORE
722 N EDWARDS ST
KALAMAZOO, MI 49007-3505
Phone number: 269-363-6137
Mailing Address
-- DELENA RENEE MOORE
722 N EDWARDS ST
KALAMAZOO, MI 49007-3505
Phone number: 269-363-6137
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