Organization
SUPREME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRINCE CESAR MUKIZA (OWNER)
(515) 525-9966
Entity
Organization
Contact information
Practice address
14508 COYOTE DR, URBANDALE, IA 50111-8223
(515) 525-9966
Mailing address
14508 COYOTE DR, URBANDALE, IA 50111-8223
(515) 525-9966
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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