Organization · Type 2 NPI
Jasob Supported Living, LLC
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Johnston, IA
Practice location
10436 Southerwick Pl
Johnston, IA 50131-2560
Mailing address
8805 Chambery Blvd Ste 300
Johnston, IA 50131-8816
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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About NPI 1467223552
Jasob Supported Living, LLC's National Provider Identifier is 1467223552, issued on Jan 9, 2024. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Johnston, IA. The record was last updated on Jan 9, 2024.