Organization
THE AEGIS-IA
Active
Other names
THE AEGIS-IA LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DESIREE MAINA (EXECUTIVE DIRECTOR)
(503) 454-6427
Entity
Organization
Contact information
Practice address
1750 E DIEHL AVE, DES MOINES, IA 50320-1741
(503) 454-6427
Mailing address
1750 E DIEHL AVE, DES MOINES, IA 50320-1741
(503) 454-6427
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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