Organization
BRIGHT HORIZONS LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FONTASHA POWELL PHD (MANAGING PARTNER)
(515) 497-6998
Entity
Organization
Contact information
Practice address
699 WALNUT ST STE 4, DES MOINES, IA 50309-3949
(515) 497-6998
(515) 992-2270
Mailing address
699 WALNUT ST STE 4, DES MOINES, IA 50309-3949
(515) 497-6998
(515) 992-2270
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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