Individual
SIMON IRUNGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4113 ASHWORTH RD, WEST DES MOINES, IA 50265-3051
(515) 771-0868
Mailing address
4113 ASHWORTH RD, WEST DES MOINES, IA 50265-3051
(515) 771-0868
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/30/2025
Last updated
05/30/2025
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