Trust Center Residential LLC

NPI #1164248894 in Urbandale, Iowa

Provider Information

NPI Number: 1164248894
Entity Type: Organization
Organization Name: Trust Center Residential LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Nov 26, 2024
Last Updated: Dec 12, 2024

Practice Location

Address: 8508 PRAIRIE AVE
City: Urbandale
State: Iowa
ZIP Code: 50322-2302
Phone: (913) 562-4326

Authorized Official

Name: DAVID MPOZA, RN
Title: MANAGING DIRECTOR
Phone: (913) 562-4326

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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