Organization
FRIENDSHIP ARK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ELLIS (EXECUTIVE DIRECTOR)
(515) 292-9556
Entity
Organization
Contact information
Practice address
130 S SHELDON AVE, SUITE #203, AMES, IA 50014-7287
(515) 292-9556
(515) 268-8897
Mailing address
130 S SHELDON AVE, SUITE #203, AMES, IA 50014-7287
(515) 292-9556
(515) 268-8897
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
X000204834
—
IA
Enumeration date
07/13/2016
Last updated
07/13/2016
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