Organization
SHADES FRIENDLY LIVING LLC
Active
Organization
SHADES FRIENDLY LIVING LLC
Active
Other names
Shades Friendly Living LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABUBAKARR GEORGE BOCKARE SILLAH CEO (EXECUTIVE DIRECTOR)
(614) 598-3311
Entity
Organization
Contact information
Practice address
519 17TH ST SE, MASON CITY, IA 50401-6011
(614) 598-3311
Mailing address
2417 SE 8TH LN UNIT 31, GRIMES, IA 50111-4241
(614) 598-3311
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
Primary
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
02/19/2024
Last updated
02/20/2024
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