OrganizationActive
Supportive Independent Shared Housing LLC
NPI 1457280281 · Lodging Provider · Des Moines, IA
Provider details
- NPI number
- 1457280281
- Entity type
- Organization
- Primary specialty
- Lodging ProviderOther Service Providers
- Authorized official
- Raenesha Luna, Ceo
Practice location
2323 Grand Ave Ste 100
Des Moines, IA 50312-5381
Phone: (515) 218-8851
Mailing address
2323 Grand Ave Ste 100
Des Moines, IA 50312-5381
Registry dates
- Enumerated
- 2026-05-18
- Last updated
- 2026-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.