Organization
DIVINE TOUCH OF IOWA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AGBOR ANTHONIA MBU-OROCK (MANAGER)
(202) 213-6881
Entity
Organization
Contact information
Practice address
8350 CASCADE AVE UNIT 9207, WDM, IA 50266-8716
(641) 980-4465
Mailing address
8350 CASCADE AVE UNIT 9207, WDM, IA 50266-8716
(202) 213-6881
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/12/2021
Last updated
09/21/2022
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