DALENA S MOMAN
NPI 1295999894
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Kalamazoo, MI

Active since July 12, 2008
1022 ROYCE AVE, KALAMAZOO, MI 49001(269) 343-8480(269) 343-5773 Get Directions Write a Review

NPPES record last updated: July 12, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dalena S Moman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DALENA S MOMAN (NPI 1295999894) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Kalamazoo, Michigan, licensed in Michigan (AF390069743) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1295999894
Entity TypeIndividualFemale
Primary Taxonomy320900000X
Provider Legal NameDALENA S MOMAN
Location Address1022 ROYCE AVEKalamazoo, MI 49001-4993
Mailing Address1022 Royce AveKalamazoo, MI 49001-4993 · (269) 343-8480 · Fax (269) 343-5773
Fax(269) 343-5773
Sole ProprietorYes
Enumeration DateJuly 12, 2008
NPI 1295999894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
License Licensed in MI · AF390069743
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
1022 ROYCE AVE, Kalamazoo, MI 49001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dalena Moman's NPI number?

The NPI number for Dalena Moman is 1295999894. It was assigned to this individual provider in the NPPES registry on July 12, 2008.

Where is Dalena Moman located?

Dalena Moman practices at 1022 Royce Ave, Kalamazoo, MI 49001. The listed phone number is (269) 343-8480.

What is Dalena Moman's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Dalena Moman was last updated on July 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.