Provider Demographics
NPI:1851160360
Name:MOORE NON-PROFIT HOUSING CORPORATION
Entity Type:Organization
Organization Name:MOORE NON-PROFIT HOUSING CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:NICOLW
Authorized Official - Middle Name:
Authorized Official - Last Name:KRAUSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-393-2103
Mailing Address - Street 1:5900 EXECUTIVE DR
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48911-5305
Mailing Address - Country:US
Mailing Address - Phone:517-393-2103
Mailing Address - Fax:
Practice Address - Street 1:1401 GEORGETOWN BLVD
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48911-5447
Practice Address - Country:US
Practice Address - Phone:517-393-2103
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-26
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health