Organization
IMARA LLC
Active
Organization
IMARA LLC
Active
Other names
Adia AFC
Organization subpart
No
Provider details
NPI number
Authorized official
EDWIN O MORANGA (ADMINISTRATOR)
(612) 245-8951
Entity
Organization
Contact information
Practice address
3475 CRYSTAL RIVER ST SW, WYOMING, MI 49418-8815
(612) 245-8951
Mailing address
3475 CRYSTAL RIVER ST SW, WYOMING, MI 49418-8815
(612) 245-8951
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
07/31/2025
Last updated
07/31/2025
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