Organization
DARLOISE SUPPORTED COMMUNITY LIVING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYLVIE ANJEINGEN ENOCHUGI (CEO)
(510) 935-5712
Entity
Organization
Contact information
Practice address
830 NE OWL RIDGE LN, WAUKEE, IA 50263-9806
(510) 935-5712
Mailing address
830 NE OWL RIDGE LN, WAUKEE, IA 50263-9806
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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