Aweis Jeilani Mohamed

Assisted Living Facility · Glendale, WI

Individual Active NPI

NPI number 1346089497

Practice location

4610 N River Park Blvd
Glendale, WI 53209-6525
Phone
(614) 806-0618

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NPI record

NPI
1346089497
Entity type
Individual (Type 1)
Enumeration date
May 20, 2024
Last updated
May 30, 2024
Certified
May 30, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Assisted Living Facility Primary 310400000X 0019889 WI

About Aweis Mohamed

Aweis Jeilani Mohamed is a healthcare provider registered in the NPI registry with the primary taxonomy Assisted Living Facility (code 310400000X). The practice location is 4610 N River Park Blvd, Glendale, WI 53209-6525. The NPI number 1346089497 was assigned on May 20, 2024 and the record was last updated on May 30, 2024.

Aweis Mohamed lists a license in the registry: #0019889 (WI) for Assisted Living Facility. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Aweis Jeilani Mohamed?

The NPI number is 1346089497.

What is the phone number of Aweis Mohamed?

The phone number listed for the practice location is (614) 806-0618.

Where is Aweis Mohamed located?

4610 N River Park Blvd, Glendale, WI 53209-6525.

What is the taxonomy code for Aweis Mohamed?

The primary taxonomy code is 310400000X – Assisted Living Facility.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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