| Elohim Home Llc | |
|
700 Ne Alices Rd Apt 2 Waukee IA 50263-8853 | |
| (515) 721-6114 | |
| (515) 257-7674 |
| Full Name | Elohim Home Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 700 Ne Alices Rd Apt 2, Waukee, Iowa |
| Authorized Official Name and Position | Nitezeho Nkundabera Niyomugabo (PRESIDENT/CEO) |
| Authorized Official Contact | 5157216114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elohim Home Llc 2815 100th St # 386 Urbandale IA 50322-3860 Ph: (515) 639-4628 | Elohim Home Llc 700 Ne Alices Rd Apt 2 Waukee IA 50263-8853 Ph: (515) 721-6114 |
| NPI Number | 1356172811 |
|---|---|
| Provider Enumeration Date | 08/08/2024 |
| Last Update Date | 08/08/2024 |
| Certification Date | 08/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356172811 | NPI | - | NPPES |
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