Organization
LUMINALIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIP WOODS (CEO)
(515) 661-8400
Entity
Organization
Contact information
Practice address
6751 NW 10TH ST, DES MOINES, IA 50313-5467
(515) 661-8400
Mailing address
6751 NW 10TH ST, DES MOINES, IA 50313-5467
(515) 661-8400
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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