NPI 1093647992
Faraja Host Home LLC
Practice location
- Address
- 707 E San Marnan Dr, Waterloo, IA 50702-5607
- Phone
- (319) 212-8935
- Fax
- (319) 212-8935
Authorised official
- Name
- Shabani E Mubibya
- Title
- Ceo
- Phone
- (319) 212-8935
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1093647992
- Entity type
- Organization
- NPI issued
- 2 Jun 2026
- Record last updated
- 2 Jun 2026
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.