Organization
COMMUNITY LIVING SERVICES
Active
Other names
Wenoj Services
Organization subpart
No
Provider details
NPI number
Authorized official
ELLY ANYIKO (EXECUTIVE DIRECTOR)
(515) 650-3559
Entity
Organization
Contact information
Practice address
8517 AIRLINE AVE, URBANDALE, IA 50322-2317
(515) 650-3559
Mailing address
8517 AIRLINE AVE, URBANDALE, IA 50322-2317
(515) 650-3559
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/21/2011
Last updated
12/21/2011
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