Organization
HEARTLAND RESIDENTIAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN RUTONESHA (MANAGING DIRECTOR)
(405) 476-0594
Entity
Organization
Contact information
Practice address
6120 NW 106TH ST APT 18, JOHNSTON, IA 50131-2489
(405) 476-0594
Mailing address
6120 NW 106TH ST APT 18, JOHNSTON, IA 50131-2489
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/28/2024
Last updated
02/28/2024
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