Individual
TOGBE AWOUTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1040 SPRUCE ST, WAUKEE, IA 50263-9202
(515) 718-1659
Mailing address
1040 SPRUCE ST, WAUKEE, IA 50263-9202
(515) 718-1659
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/14/2025
Last updated
02/14/2025
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