NPI 1457012056

Moin Enterprises INC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Monmouth, OR

Practice location

Address: 168 Ackerman St E, Monmouth, OR 97361-2214
Phone: (503) 409-5804
Mailing address: PO Box 56, Monmouth, OR 97361-0056

Authorised official

Name: Thomas Wayne Stutzman
Title: President/ Owner
Phone: (503) 409-5804

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

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Registry record

NPI: 1457012056
Entity type: Organization
NPI issued: 5 Jan 2022
Record last updated: 5 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.