Greatlife Home Care, LLC

NPI #1760192702 in Clive, Iowa

Provider Information

NPI Number: 1760192702
Entity Type: Organization
Organization Name: Greatlife Home Care, LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Nov 30, 2022
Last Updated: Jan 7, 2025

Practice Location

Address: 7880 HARBACH BLVD
City: Clive
State: Iowa
ZIP Code: 50325-1240
Phone: (515) 918-3551

Authorized Official

Name: MASSARA GOYOM KOMJO
Title: OWNER
Phone: (515) 918-3551

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Meals	174200000X
Home Health	251E00000X
Rehabilitation Unit	273Y00000X
Long Term Care Hospital	282E00000X
Private Vehicle	347C00000X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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