Individual provider · Type 1 NPI

Abdirisaq Yusuf Mohamed

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

NPI number 1386433803 Active

Practice location

1503 N 104th Plz
Omaha, NE 68114-1103

Call (531) 772-1207 Map

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XH13989145 (NE)

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 1386433803

Abdirisaq Yusuf Mohamed's National Provider Identifier is 1386433803, issued on May 1, 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 1, 2025.