Moore Life Abundant Care
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Council Bluffs, IA. Organization (NPI-2).
NPI number1972391027
StatusActive
Last updated in NPPESApr 29, 2025
Details
- NPI
- 1972391027
- Entity type
- Organization (NPI-2)
- Legal business name
- Moore Life Abundant Care
- Organization subpart
- No
- Enumeration date
- Apr 29, 2025
- Certification date
- Apr 28, 2025
- Last updated
- Apr 29, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
5 Caribou CirCouncil Bluffs, IA 51503-2402
Phone 402-990-2949
Mailing address
309 Court Ave Ste 820Pmb 226422
Desmoines, IA 50309
Phone 402-990-2949
Authorized official
Brooke Renee Moore
Ceo
4029902949
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