Organization
YESHUA REENTRY AND RECOVERY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELYN SEYMOUR (BOARD MEMBER)
(515) 339-9016
Entity
Organization
Contact information
Practice address
1235 SAMPSON ST, DES MOINES, IA 50316
(515) 339-9016
(515) 266-6029
Mailing address
PO BOX 836, DES MOINES, IA 50304-0836
(515) 339-9016
(515) 266-6029
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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