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Organization
FRUITFUL HEALTHCARE SL
Active
Organization
FRUITFUL HEALTHCARE SL
Active
Other names
Fruitful Healthcare SL
Organization subpart
No
Provider details
NPI number
Authorized official
ABU BAKARR GEORGE BOCKARE SILLAH (CHIEF EXECUTIVE OFFICER)
(614) 598-3311
Entity
Organization
Contact information
Practice address
5731 URBANDALE AVE STE 3, DES MOINES, IA 50310-1271
(614) 598-3311
Mailing address
5731 URBANDALE AVE STE 3, DES MOINES, IA 50310-1271
(614) 598-3311
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
372500000X
Chore Provider
—
—
Other
Enumeration date
02/19/2024
Last updated
02/20/2024
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