# LIFEBRIDGE IOWA

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

## Provider details

- **NPI number:** 1720977671
- **Authorized official:** HERMINA TANDIA (CEO)
- **Authorized official phone:** (515) 336-2164

## Contact information

- **Practice address:** 911 NE 45TH STREET, ANKENY, IA 50021
- **Practice address phone:** (515) 336-2164
- **Mailing address:** 2407 SE DELAWARE AVE \# 1073, ANKENY, IA 50021-4470

## Taxonomy

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

## Other

- **Enumeration date:** 07/02/2025
- **Last updated:** 07/02/2025