Individual provider · Type 1 NPI
Jean Baptiste Mugabe
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Johnston, IA
Practice location
10239 Southerwick Place
Johnston, IA 50131
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.
About NPI 1609697002
Jean Baptiste Mugabe's National Provider Identifier is 1609697002, issued on Oct 18, 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 Oct 18, 2024.