# FRUITFUL HEALTHCARE SL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fruitful Healthcare SL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144085242
- **Authorized official:** ABU BAKARR GEORGE BOCKARE SILLAH (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (614) 598-3311

## Contact information

- **Practice address:** 5731 URBANDALE AVE STE 3, DES MOINES, IA 50310-1271
- **Practice address phone:** (614) 598-3311
- **Mailing address:** 5731 URBANDALE AVE STE 3, DES MOINES, IA 50310-1271
- **Mailing address phone:** (614) 598-3311

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | — | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |
| 372500000X | Chore Provider | — | — | — |

## Other

- **Enumeration date:** 02/19/2024
- **Last updated:** 02/20/2024