Organization
EMBRACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIE KALAMBOKIDIS MFCS, LBSW (EXECUTIVE DIRECTOR)
(712) 527-5747
Entity
Organization
Contact information
Practice address
502 SHARP ST, GLENWOOD, IA 51534-1731
(712) 527-5747
(712) 527-2091
Mailing address
502 SHARP ST, GLENWOOD, IA 51534-1731
(712) 527-5747
(712) 527-2091
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372600000X
Adult Companion
—
—
385H00000X
Respite Care
—
—
385HR2050X
Respite Care Camp
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X000104085
IA NPI ASSIGNED NUMBER FOR REMEDIAL SERVICES
IA
01
—
X000203108
IA MEDICAID HCBS SERVICES
IA
Enumeration date
01/11/2011
Last updated
01/11/2011
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