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NPI Code Detail

MEDICARE: ABDIMAHAD BURALE

MEDICARE: ABDIMAHAD BURALE
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
1320900000XIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
23747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1568250090
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABDIMAHAD BURALE
Provider Business Mailing Address
First Line : 2917 MAPLEWOOD BLVD APT 5
Second Line :
City : OMAHA
State : NE
Zip : 68134-5454
Country : US
Telephone Number : 402-979-5055
Fax Number :
Provider Business Practice Location Address
First Line : 14210 ARBOR ST STE A
Second Line :
City : OMAHA
State : NE
Zip : 68144-2382
Country : US
Telephone Number : 531-999-1133
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2025
Last Update Date : 02/04/2026

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Directions to “ ABDIMAHAD BURALE ” Practice Location

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