The purpose of this report is to use nationally representative data from the 2012 National Survey of Early Care and Education (NSECE) to provide a descriptive comparison of the types of ECE available in high-density urban, moderate-density urban (suburban), and rural areas. Additionally, this report compares the need for and use of child care among families with young children in both rural and urban areas. This report also sheds light on differences in ECE by rurality on a national scale. High-quality ECE is of great importance for children's development and school readiness. In order to understand unmet needs for child care and workforce support, it is necessary to evaluate the differences in supply and demand for ECE between rural, moderate-density urban, and high-density urban areas. Once these needs are clarified, useful support can be provided for high-quality care that fosters healthy development. (author abstract)