NPI 1730073966
Supreme Care LLC
Practice location
- Address
- 14508 Coyote Dr, Urbandale, IA 50111-8223
- Phone
- (515) 525-9966
Authorised official
- Name
- Prince Cesar Mukiza
- Title
- Owner
- Phone
- (515) 525-9966
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1730073966
- Entity type
- Organization
- NPI issued
- 3 Jun 2025
- Record last updated
- 3 Jun 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.