# JAE COMFORT LIVING LLC

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

## Provider details

- **NPI number:** 1548022940
- **Authorized official:** ELICAH N MAKOKHA (PROGRAM DIRECTOR)
- **Authorized official phone:** (515) 303-6060

## Contact information

- **Practice address:** 5407 149TH ST, URBANDALE, IA 50323-1649
- **Practice address phone:** (515) 303-6060
- **Mailing address:** 5407 149TH ST, URBANDALE, IA 50323-1649
- **Mailing address phone:** (515) 303-6060

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/30/2024
- **Last updated:** 01/30/2024