Jasob Supported Living, LLC

NPI #1467223552 in Johnston, Iowa

Provider Information

NPI Number: 1467223552
Entity Type: Organization
Organization Name: Jasob Supported Living, LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jan 9, 2024
Last Updated: Jan 9, 2024

Practice Location

Address: 10436 SOUTHERWICK PL
City: Johnston
State: Iowa
ZIP Code: 50131-2560
Phone: (515) 745-4982

Authorized Official

Name: BARITUKA ADE
Title: OWNER
Phone: (515) 745-4982

Specialties & Taxonomy Codes

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

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