Organization
SHINING LIVES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YANNICK NDAYISENGA (CEO)
(607) 232-0419
Entity
Organization
Contact information
Practice address
3131 6TH ST SW APT 2, CEDAR RAPIDS, IA 52404-4089
(607) 232-0419
Mailing address
3131 6TH ST SW APT 2, CEDAR RAPIDS, IA 52404-4089
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/11/2025
Last updated
07/11/2025
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