Organization
SUPPORTIVE INDEPENDENT SHARED HOUSING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAENESHA LUNA (CEO)
(515) 218-8851
Entity
Organization
Contact information
Practice address
2323 GRAND AVE STE 100, DES MOINES, IA 50312-5381
(515) 218-8851
Mailing address
2323 GRAND AVE STE 100, DES MOINES, IA 50312-5381
(515) 218-8851
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
—
—
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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