# HEALTHPRO DISABILITY CARE LLC

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

## Provider details

- **NPI number:** 1568290831
- **Authorized official:** MR. MATHIAS KEDJU FOASUNG-ZAH (SOLE MEMBER)
- **Authorized official phone:** (602) 918-4012

## Contact information

- **Practice address:** 315 E 5TH ST STE 202, WATERLOO, IA 50703-4757
- **Practice address phone:** (602) 918-4012
- **Mailing address:** 315 E 5TH ST STE 202, WATERLOO, IA 50703-4757
- **Mailing address phone:** (602) 918-4012

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 3104A0625X | Assisted Living Facility (Mental Illness) | — | NULL | — |
| 3104A0630X | Assisted Living Facility (Behavioral Disturbances) | — | NULL | — |
| 313M00000X | Nursing Facility/Intermediate Care Facility | — | NULL | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | — |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | NULL | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 07/26/2024
- **Last updated:** 08/27/2024