Provider Demographics
NPI:1801661087
Name:ANAWIM HOUSING
Entity type:Organization
Organization Name:ANAWIM HOUSING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PROGRAMS AND SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:
Authorized Official - Last Name:ORCUTT
Authorized Official - Suffix:
Authorized Official - Credentials:IADC
Authorized Official - Phone:515-864-6321
Mailing Address - Street 1:1750 48TH ST STE 100B
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50310-1900
Mailing Address - Country:US
Mailing Address - Phone:515-864-6321
Mailing Address - Fax:515-244-7977
Practice Address - Street 1:1750 48TH ST STE 100B
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50310-1900
Practice Address - Country:US
Practice Address - Phone:515-864-6321
Practice Address - Fax:515-244-7977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-17
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health