Organization
MOVING MOUNTAINS DEVELOPMENTAL DISABILITY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATRINA J HARRIS (OWNER)
(402) 812-6676
Entity
Organization
Contact information
Practice address
2019 CROWN FLAIR DR, WEST DES MOINES, IA 50265-3331
(402) 812-6676
Mailing address
4595 N 190TH AVE, ELKHORN, NE 68022-4685
(402) 812-6676
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
12/27/2024
Last updated
12/27/2024
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