NPI 1306115365

Community Living Services

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Urbandale, IA

Practice location

Address: 8517 Airline Ave, Urbandale, IA 50322-2317
Phone: (515) 650-3559

Authorised official

Name: Elly Anyiko
Title: Executive Director
Phone: (515) 650-3559

Registered specialties

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

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Iowa →

Registry record

NPI: 1306115365
Entity type: Organization
NPI issued: 21 Dec 2011
Record last updated: 21 Dec 2011

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.