Moin Enterprises INC

NPI #1457012056 in Monmouth, Oregon

Provider Information

NPI Number: 1457012056
Entity Type: Organization
Organization Name: Moin Enterprises INC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jan 5, 2022
Last Updated: Jan 5, 2022

Practice Location

Address: 168 ACKERMAN ST E
City: Monmouth
State: Oregon
ZIP Code: 97361-2214
Phone: (503) 409-5804

Authorized Official

Name: MR. THOMAS WAYNE STUTZMAN
Title: PRESIDENT/ OWNER
Phone: (503) 409-5804

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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