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Organization
JASEL THRIVECARE LLC
Active
Organization
JASEL THRIVECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIWACU GIDIONI (EXECUTIVE)
(319) 320-3768
Entity
Organization
Contact information
Practice address
1117 PAWNEE DR NW, CEDAR RAPIDS, IA 52405-2324
(319) 320-3768
Mailing address
1117 PAWNEE DR NW, CEDAR RAPIDS, IA 52405-2324
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NULL
385H00000X
Respite Care
—
NULL
Other
Enumeration date
10/13/2025
Last updated
10/13/2025
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