| Moriah Home Llc | |
|
6802 Lewis Carroll Ct Johnston IA 50131-4504 | |
| (515) 305-6450 | |
| Not Available |
| Full Name | Moriah Home Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6802 Lewis Carroll Ct, Johnston, Iowa |
| Authorized Official Name and Position | Beatrice Nyiramukobwa (PRESIDENT/CEO) |
| Authorized Official Contact | 5153056450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moriah Home Llc 6805 Lewis Carroll Ct Johnston IA 50131-4504 Ph: (515) 305-6450 | Moriah Home Llc 6802 Lewis Carroll Ct Johnston IA 50131-4504 Ph: (515) 305-6450 |
| NPI Number | 1982435855 |
|---|---|
| Provider Enumeration Date | 08/12/2024 |
| Last Update Date | 08/12/2024 |
| Certification Date | 08/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982435855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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