Organization
STELLA'S HAVEN LLC
Active
Organization
STELLA'S HAVEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRICA AMERISON-SMITH (OWNER/CEO)
(515) 216-8095
Entity
Organization
Contact information
Practice address
18063 TANGLEWOOD DR, CLIVE, IA 50325-2595
(515) 216-8095
Mailing address
18063 TANGLEWOOD DR, CLIVE, IA 50325-2595
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/25/2026
Last updated
08/25/2026
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