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Organization

ON WITH LIFE, INC

Active
Parent organization
ON WITH LIFE, INC
Other names
On With Life Residential Neuro Rehab
Organization subpart
Yes

Provider details

NPI number
Legal business name
ON WITH LIFE, INC
Authorized official
CYNTHIA EWALD (OFFICE MANAGER)
(515) 289-9658
Entity
Organization

Contact information

Practice address
692 NW 43RD AVE, DES MOINES, IA 50313
(515) 965-6860
(515) 289-1492
Mailing address
715 SW ANKENY RD, ANKENY, IA 50023-9798
(515) 289-9658
(515) 965-1186

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0651638
IA
Enumeration date
05/19/2017
Last updated
06/21/2018
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