| NPI | 1649168337 |
|---|---|
| Doing Business As | PASSION HEALTH CARE PROVIDER LLC |
| Entity Type | Organization |
| Authorized Contact | DERICK MBACHAM Executive Director 515-525-5369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-06-24 |
| Last Update Date | 2025-06-24 |