NPI 1174117386
Specrtum Living LLC
Practice location
- Address
- 903 SE Rene St, Ankeny, IA 50021-3982
- Phone
- (515) 771-2340
Authorised official
- Name
- Fitzgerald Conrad Cofie
- Title
- Partner
- Phone
- (515) 771-2340
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1174117386
- Entity type
- Organization
- NPI issued
- 28 Feb 2021
- Record last updated
- 28 Feb 2021
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.