# RISE AND SHINE RESIDENTIAL CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497536569
- **Authorized official:** DOUGLAS CHIMANGA (PRESIDENT)
- **Authorized official phone:** (701) 320-4871

## Contact information

- **Practice address:** 5419 146TH ST, URBANDALE, IA 50323-2800
- **Practice address phone:** (701) 320-4871
- **Mailing address:** 5419 146TH ST, URBANDALE, IA 50323-2800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 10/13/2023
- **Last updated:** 10/13/2023