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NPI Code Detail

MEDICARE: SOMALI RESOURCES ADULT DAY CENTER LLC

MEDICARE: SOMALI RESOURCES ADULT DAY CENTER LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA0600XAdult Day Care Clinic/Center

General Provider Information

NPI Number : 1144150632
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOMALI RESOURCES ADULT DAY CENTER LLC
Provider Business Mailing Address
First Line : 1020 W HISTORIC MITCHELL ST
Second Line : BS#3
City : MILWAUKEE
State : WI
Zip : 53204-3307
Country : US
Telephone Number : 414-639-0217
Fax Number : 414-231-9926
Provider Business Practice Location Address
First Line : 1020 W HISTORIC MITCHELL ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53204-3307
Country : US
Telephone Number : 414-639-0217
Fax Number : 414-231-9926
Authorized Official
Title or Position : DIRECTOR
Name : LUL ABUKAR
Credential :
Telephone Number : 414-639-0217
Provider Enumeration Date : 05/19/2026
Last Update Date : 05/19/2026

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Directions to “SOMALI RESOURCES ADULT DAY CENTER LLC ” Practice Location

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