Specrtum Living LLC

NPI #1174117386 in Ankeny, Iowa

Provider Information

NPI Number: 1174117386
Entity Type: Organization
Organization Name: Specrtum Living LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Feb 28, 2021
Last Updated: Feb 28, 2021

Practice Location

Address: 903 SE RENE ST
City: Ankeny
State: Iowa
ZIP Code: 50021-3982
Phone: (515) 771-2340

Authorized Official

Name: MR. FITZGERALD CONRAD COFIE
Title: PARTNER
Phone: (515) 771-2340

Specialties & Taxonomy Codes

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

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