NPI 1164248894
Trust Center Residential LLC
Practice location
- Address
- 8508 Prairie Ave, Urbandale, IA 50322-2302
- Phone
- (913) 562-4326
- Mailing address
- 315 E 5th St # 202, Waterloo, IA 50703-4757
Authorised official
- Name
- David Mpoza
- Title
- Managing Director
- Phone
- (913) 562-4326
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1164248894
- Entity type
- Organization
- NPI issued
- 26 Nov 2024
- Record last updated
- 12 Dec 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.