Organization
HOPE FOR LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAXWELL BOIMA SANDO BTH - THEOLOGY (FOUNDER/CEO)
(563) 381-0223
Entity
Organization
Contact information
Practice address
250 NE 41ST ST UNIT 206, ANKENY, IA 50021-6016
(563) 381-0223
Mailing address
250 NE 41ST ST UNIT 206, ANKENY, IA 50021-6016
(563) 381-0223
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
855AK5955
STATE ID
IA
Enumeration date
05/17/2018
Last updated
08/17/2018
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