Supreme Care LLC

NPI #1730073966 in Urbandale, Iowa

Provider Information

NPI Number: 1730073966
Entity Type: Organization
Organization Name: Supreme Care LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jun 3, 2025
Last Updated: Jun 3, 2025

Practice Location

Address: 14508 COYOTE DR
City: Urbandale
State: Iowa
ZIP Code: 50111-8223
Phone: (515) 525-9966

Authorized Official

Name: PRINCE CESAR MUKIZA
Title: OWNER
Phone: (515) 525-9966

Specialties & Taxonomy Codes

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

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