Individual
ANNA EGBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2192 PORT TALBOT PL, CORALVILLE, IA 52241-3441
(319) 471-6694
Mailing address
2192 PORT TALBOT PL, CORALVILLE, IA 52241-3441
(319) 471-6694
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
IA
Other
Enumeration date
11/28/2025
Last updated
11/28/2025
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