Individual provider · Type 1 NPI

Abdiaziz M. Shukri

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Omaha, NE

NPI number 1255138111 Active

Practice location

5022 S 114th St
Omaha, NE 68137-2329

Call (402) 630-0018 Map

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1255138111

Abdiaziz M. Shukri's National Provider Identifier is 1255138111, issued on Feb 27, 2025. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Omaha, NE. The record was last updated on May 2, 2025.