Faith Residential Care LLC

NPI #1528760170 in Grimes, Iowa

Provider Information

NPI Number: 1528760170
Entity Type: Organization
Organization Name: Faith Residential Care LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Mar 20, 2023
Last Updated: Mar 20, 2023

Practice Location

Address: 900 SE PARK ST
City: Grimes
State: Iowa
ZIP Code: 50111-2263
Phone: (515) 770-6393

Authorized Official

Name: DAVID MAHIRWE
Title: CEO
Phone: (515) 770-6393

Specialties & Taxonomy Codes

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

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