Individual
MR. SYRIDIO HABIMANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
420 LA SALLE DR SW, CEDAR RAPIDS, IA 52404
(319) 693-7811
Mailing address
420 LA SALLE DR SW, CEDAR RAPIDS, IA 52404
(319) 693-7811
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
—
IA
253Z00000X
In Home Supportive Care Agency
—
IA
311Z00000X
Custodial Care Facility
—
IA
372600000X
Adult Companion
—
IA
3747P1801X
Personal Care Attendant
Primary
—
IA
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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