Individual
SUSAN KWAMBATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
610 NW ROSEMONT DR, 610 NW ROSEMONT DR, WAUKEE, IA 50263-2905
(515) 779-2298
Mailing address
610 NW ROSEMONT DR, 610 NW ROSEMONT DR, WAUKEE, IA 50263-2905
(515) 779-2298
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
IA
Other
Enumeration date
02/17/2026
Last updated
02/17/2026
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