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Ms. Kashira Foster
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Des Moines, Iowa
NPI 1215659164

Kashira Foster is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Clive, IA. Kashira Foster practices in Des Moines, IA. The NPI Number for Kashira Foster is 1215659164 and holds a License No. 883412414 (Iowa).

The current practice location address for Kashira Foster is 4810 Ingersoll Ave, Des Moines, IA and can be reached out via phone at 651-515-6580.

Location: 4810 Ingersoll Ave, Des Moines, IA, 50325-0441
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215659164
Provider Name
Kashira Foster
Credential
Provider Entity Type
Individual
Gender
Female
Address
4810 Ingersoll Ave, Des Moines, IA, 50325-0441
Phone Number
651-515-6580
Fax Number
Provider Enumeration Date
09/16/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4810 Ingersoll Ave
City
Des Moines
State
Iowa
Zip
50312-2061
Phone Number
651-515-6580
Fax Number
person
Provider Business Mailing Address Details
Address
4810 Ingersoll Ave
City
Des Moines
State
Iowa
Zip
50312-2061
Phone Number
651-515-6580
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
883412414 (Iowa)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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