Organization
WE ARE THE WORLD SUPPORTIVE LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAVAUGHN WELLS (OWNER)
(402) 813-9400
Entity
Organization
Contact information
Practice address
255 LAFAYETTE AVE, COUNCIL BLUFFS, IA 51503-3025
(402) 813-9400
Mailing address
255 LAFAYETTE AVE, COUNCIL BLUFFS, IA 51503-3025
(402) 813-9400
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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