Organization
ON WITH LIFE, INC
Active
Other names
On With Life Outpatient Neuro Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN SHELTON (CEO)
(515) 289-9703
Entity
Organization
Contact information
Practice address
2854 CORAL COURT, SUITE 1, CORALVILLE, IA 52241
(515) 289-9703
Mailing address
715 SW ANKENY RD, ANKENY, IA 50023-9798
(515) 289-9703
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
07/05/2019
Last updated
03/04/2021
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