Organization
FRUITFUL HEALTHCARE SL
Active
Other names
Fruitful Healthcare SL
Organization subpart
No
Provider details
NPI number
Authorized official
ABU BAKARR GEORGE BOCKARE SILLAH (CHIEF EXECUTIVE OFFICER)
(614) 598-3311
Entity
Organization
Contact information
Practice address
5731 URBANDALE AVE STE 3, DES MOINES, IA 50310-1271
(614) 598-3311
Mailing address
5731 URBANDALE AVE STE 3, DES MOINES, IA 50310-1271
(614) 598-3311
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
372500000X
Chore Provider
—
—
Other
Enumeration date
02/19/2024
Last updated
02/20/2024
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