Organization
HEBRONIS HOME LLC
Active
Other names
HEBRONIS HOME LLC
Organization subpart
No
Provider details
NPI number
Authorized official
FIDELE NITEZEHO (PRESIDENT)
(515) 217-8376
Entity
Organization
Contact information
Practice address
5127 69TH ST, URBANDALE, IA 50322-6907
(515) 217-8376
Mailing address
5127 69TH ST, URBANDALE, IA 50322-6907
(515) 217-8376
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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