| NPI | 1063278760 |
|---|---|
| Doing Business As | LABASE LIVING |
| Entity Type | Organization |
| Authorized Contact | LUCAS MWITA CEO 319-777-8705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2024-03-12 |