Provider Demographics
NPI:1700234093
Name:HARAMBEE, LLC
Entity Type:Organization
Organization Name:HARAMBEE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JACINTHA
Authorized Official - Middle Name:YVONNE
Authorized Official - Last Name:NAMBI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-354-1177
Mailing Address - Street 1:412 HIGHLAND AVE
Mailing Address - Street 2:STE. #5
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-4540
Mailing Address - Country:US
Mailing Address - Phone:319-354-1177
Mailing Address - Fax:
Practice Address - Street 1:412 HIGHLAND AVE
Practice Address - Street 2:STE. #5
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-4540
Practice Address - Country:US
Practice Address - Phone:319-354-1177
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-27
Last Update Date:2016-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAX000109760Medicaid