NPI 1518794718
Primecare LLC
Practice location
- Address
- 8604 Carole Cir APT 12, Urbandale, IA 50322-4350
- Phone
- (201) 702-6784
Authorised official
- Name
- Kinyamahoko Munini
- Title
- Ceo
- Phone
- (201) 702-6784
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1518794718
- Entity type
- Organization
- NPI issued
- 19 Sep 2024
- Record last updated
- 19 Sep 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.