Organization
COCOJAYDY SUPPORT CARE SERVICES
Active
Other names
CocoJaydy Support Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
COLETTE NDIGYENOUBA (PRESIDENT)
(319) 671-4013
Entity
Organization
Contact information
Practice address
1957 BLAIRS FERRY RD NE STE 100, CEDAR RAPIDS, IA 52402-5833
(319) 200-5668
Mailing address
1957 BLAIRS FERRY RD NE STE 100, CEDAR RAPIDS, IA 52402-5833
(319) 200-5668
(877) 373-1344
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
11/29/2022
Last updated
11/29/2022
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