Organization
MY BROTHERS KEEPER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIQUE HOGAN (OWNER)
(402) 707-0615
Entity
Organization
Contact information
Practice address
4685 MERLE HAY RD STE 203, DES MOINES, IA 50322-1982
(402) 707-0615
Mailing address
4685 MERLE HAY RD STE 203, DES MOINES, IA 50322-1982
(402) 707-0615
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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