Organization
RISE AND SHINE RESIDENTIAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS CHIMANGA (PRESIDENT)
(701) 320-4871
Entity
Organization
Contact information
Practice address
5419 146TH ST, URBANDALE, IA 50323-2800
(701) 320-4871
Mailing address
5419 146TH ST, URBANDALE, IA 50323-2800
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/13/2023
Last updated
10/13/2023
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