Organization
FARAJA HOST HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHABANI E MUBIBYA MUBIBYA (CEO)
(319) 212-8935
Entity
Organization
Contact information
Practice address
707 E SAN MARNAN DR, WATERLOO, IA 50702-5607
(319) 212-8935
(319) 212-8935
Mailing address
707 E SAN MARNAN DR, WATERLOO, IA 50702-5607
(319) 212-8935
(319) 212-8935
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/02/2026
Last updated
06/02/2026
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