| Nitezeho Llc | |
|
310 Se Gateway Dr Apt 139 Grimes IA 50111-8747 | |
| (701) 891-8809 | |
| Not Available |
| Full Name | Nitezeho Llc |
|---|---|
| Speciality | Home Health |
| Location | 310 Se Gateway Dr Apt 139, Grimes, Iowa |
| Authorized Official Name and Position | Jean De Dieu Nitezeho Niyomugabo (CEO) |
| Authorized Official Contact | 7018918809 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nitezeho Llc 4300 Beaver Ave Des Moines IA 50310-3773 Ph: (701) 891-8809 | Nitezeho Llc 310 Se Gateway Dr Apt 139 Grimes IA 50111-8747 Ph: (701) 891-8809 |
| NPI Number | 1215383898 |
|---|---|
| Provider Enumeration Date | 05/12/2016 |
| Last Update Date | 07/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215383898 | NPI | - | NPPES |
| 2 | Medicaid | IA |
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