Life Extended Home LLC

NPI #1841012762 in Urbandale, Iowa

Provider Information

NPI Number
1841012762
Entity Type
Organization
Organization Name
Life Extended Home LLC
Primary Specialty
Community/Behavioral Health
Enumeration Date
Oct 30, 2024
Last Updated
Oct 30, 2024

Practice Location

Address
5505 145TH STREET
Address 2
N/A
State
Iowa
ZIP Code
50323
Phone
(515) 943-6732

Authorized Official

Name
NTWARI N GAKUNZI
Title
CEO
Phone
(515) 943-6732

Specialties & Taxonomy Codes

Specialty
Day Training, Developmentally Disabled Services
Home Health
Foster Care Agency
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Community/Behavioral Health

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