Organization · NPI-2
2 Laines
Peer Specialist · Davenport, IA
NPI number1932084407
StatusActive
Last updated in NPPESAug 6, 2025
Details
- NPI
- 1932084407
- Entity type
- Organization (NPI-2)
- Legal business name
- 2 Laines
- Organization subpart
- No
- Enumeration date
- Aug 6, 2025
- Certification date
- Aug 6, 2025
- Last updated
- Aug 6, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
| 251X00000X | Supports Brokerage | – | – | |
| 253Z00000X | In Home Supportive Care | – | – | |
| 347E00000X | Transportation Broker | – | – | |
| 374U00000X | Home Health Aide | – | – |
Practice location
326 W 3rd St Unit 903Davenport, IA 52801-1233
Phone 563-676-9396
Mailing address
326 W 3rd St Unit 903Davenport, IA 52801-1233
Phone 563-676-9396
Authorized official
Warnice Edwards
Administrator
5636769396
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