| NPI | 1760192702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MASARAAT GOYOM KOMJO Owner 515-918-3551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 174200000X Meals |
| 251E00000X Home Health | |
| 273Y00000X Rehabilitation Unit | |
| 282E00000X Long Term Care Hospital | |
| 310400000X Assisted Living Facility | |
| 311500000X Alzheimer Center (Dementia Center) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2022-12-08 |