Healthcare Provider Details

I. General information

NPI: 1144150632
Provider Name (Legal Business Name): SOMALI RESOURCES ADULT DAY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1020 W HISTORIC MITCHELL ST
MILWAUKEE WI
53204-3307
US

IV. Provider business mailing address

1020 W HISTORIC MITCHELL ST BS#3
MILWAUKEE WI
53204-3307
US

V. Phone/Fax

Practice location:
  • Phone: 414-639-0217
  • Fax: 414-231-9926
Mailing address:
  • Phone: 414-639-0217
  • Fax: 414-231-9926

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LUL ABUKAR
Title or Position: DIRECTOR
Credential:
Phone: 414-639-0217