Heartland Residential Care LLC

NPI #1851158612 in Johnston, Iowa

Provider Information

NPI Number: 1851158612
Entity Type: Organization
Organization Name: Heartland Residential Care LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Feb 28, 2024
Last Updated: Feb 28, 2024

Practice Location

Address: 6120 NW 106TH ST APT 18
City: Johnston
State: Iowa
ZIP Code: 50131-2489
Phone: (405) 476-0594

Authorized Official

Name: JEAN RUTONESHA
Title: MANAGING DIRECTOR
Phone: (405) 476-0594

Specialties & Taxonomy Codes

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

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