NPI 1366334633
Hawkeye Praire Community Living LLC
Practice location
- Address
- 1817 22nd St, Des Moines, IA 50310-6012
- Phone
- (515) 228-6162
- Mailing address
- 2424 Martin Luther King Jr Pkwy Unit 1a, Des Moines, IA 50310-6179
Authorised official
- Name
- Mohamud Ali
- Title
- Executive Director
- Phone
- (651) 216-8308
Registered specialties (2)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Mental Illness Community Based Residential Treatment Facility
Registry record
- NPI
- 1366334633
- Entity type
- Organization
- NPI issued
- 19 Jul 2025
- Record last updated
- 10 Aug 2025
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.