Provider Demographics
NPI:1265986293
Name:D MOERLAND INC.
Entity type:Organization
Organization Name:D MOERLAND INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:MOERLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-230-5117
Mailing Address - Street 1:4125 OKEMOS RD
Mailing Address - Street 2:UNIT 24
Mailing Address - City:OKEMOS
Mailing Address - State:MI
Mailing Address - Zip Code:48864-2819
Mailing Address - Country:US
Mailing Address - Phone:517-483-2784
Mailing Address - Fax:
Practice Address - Street 1:4125 OKEMOS RD
Practice Address - Street 2:UNIT 24
Practice Address - City:OKEMOS
Practice Address - State:MI
Practice Address - Zip Code:48864-2819
Practice Address - Country:US
Practice Address - Phone:517-483-2784
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-08
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care