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Organization

NEZIA CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BOSE PATRICK (MEMBER)
(515) 421-6509
Entity
Organization

Contact information

Practice address
2917 BOULDER DR, WEST DES MOINES, IA 50265-4154
(515) 421-6509
Mailing address
2917 BOULDER DR, WEST DES MOINES, IA 50265-4154
(515) 421-6509

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
251E00000X
Home Health Agency
Primary
251S00000X
Community/Behavioral Health Agency
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Other

Enumeration date
02/20/2024
Last updated
04/01/2024
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