Organization
LABASE LLC
Active
Other names
LABASE LIVING
Organization subpart
No
Provider details
NPI number
Authorized official
LUCAS MWITA (CEO)
(319) 777-8705
Entity
Organization
Contact information
Practice address
2810 25TH AVE, MARION, IA 52302-1311
(319) 777-8705
Mailing address
5249 N PARK PL NE # 1070, CEDAR RAPIDS, IA 52402-6210
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/21/2024
Last updated
12/19/2024
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