NPI | 1316657539 |
---|---|
Doing Business As | COCOJAYDY SUPPORT CARE SERVICES |
Entity Type | Organization |
Authorized Contact | COLETTE NDIGYENOUBA President 319-671-4013 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
385H00000X Respite Care | |
Enumeration Date | 2022-11-29 |
Last Update Date | 2022-11-29 |