Healthcare Provider Details

I. General information

NPI: 1245154772
Provider Name (Legal Business Name): RUWAL CARE NETWORK LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

675 SE BOOTH AVE
WAUKEE IA
50263-1237
US

IV. Provider business mailing address

675 SE BOOTH AVE
WAUKEE IA
50263-1237
US

V. Phone/Fax

Practice location:
  • Phone: 319-504-4088
  • Fax: 319-504-4088
Mailing address:
  • Phone: 319-504-4088
  • Fax: 319-504-4088

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: RUTH KATAAM
Title or Position: OWNER
Credential:
Phone: 319-504-4088