Moore, Delena Renee

Moore, Delena Renee is an sole proprietor health care provider with primary practice located at 722 N Edwards St , Kalamazoo MI 49007-3505. She recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities. Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is her primary health care specialty. Moore, Delena Renee can be contacted via phone (269) 363-6137.

Contact Information

Primary practice address
722 N Edwards St Kalamazoo MI 49007-3505
Phone: (269) 363-6137
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X AS390367863 Michigan
Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities 320700000X AS390367863 Michigan

Profile Details

NPI number 1073997508
LBN Legal business name Moore, Delena Renee
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2015
Last updated Jul 15th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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