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Organization

TETE ROLLING HILLS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JUNIOR MBUA LAMBUA (ADMINISTRATION)
(202) 751-0232
Entity
Organization

Contact information

Practice address
309 COURT AVE # 891, DES MOINES, IA 50309-2245
(202) 751-0232
Mailing address
7700 OLD BRANCH AVE STE B201, CLINTON, MD 20735-1605
(202) 751-0232

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
310400000X
Assisted Living Facility
320800000X
Mental Illness Community Based Residential Treatment Facility
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care

Other

Enumeration date
07/24/2025
Last updated
07/24/2025
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