Healthcare Provider Details

I. General information

NPI: 1982529244
Provider Name (Legal Business Name): WELLBROOK RECOVERY DES MOINES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 EASTON BLVD
DES MOINES IA
50317-3124
US

IV. Provider business mailing address

206 E 7TH ST
LAKEWOOD NJ
08701-2005
US

V. Phone/Fax

Practice location:
  • Phone: 216-372-6643
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. MEIR KASNETT
Title or Position: CEO
Credential:
Phone: 216-372-6643