IndividualActive
Aweis Mohamed
NPI 1346089497 · Assisted Living Facility · Glendale, WI
Provider details
- NPI number
- 1346089497
- Entity type
- Individual
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0019889 (WI)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
4610 N River Park Blvd
Glendale, WI 53209-6525
Phone: (614) 806-0618
Approximate (ZIP-level) locationGet directions
Mailing address
4610 N River Park Blvd
Glendale, WI 53209-6525
Registry dates
- Enumerated
- 2024-05-20
- Last updated
- 2024-05-30
- Certified
- 2024-05-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.