Organization
HAWKEYE PRAIRE COMMUNITY LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMUD ALI (EXECUTIVE DIRECTOR)
(651) 216-8308
Entity
Organization
Contact information
Practice address
1817 22ND ST, DES MOINES, IA 50310-6012
(515) 228-6162
Mailing address
2424 MARTIN LUTHER KING JR PKWY UNIT 1A, DES MOINES, IA 50310-6179
(651) 216-8308
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/19/2025
Last updated
08/10/2025
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