NPI | 1275329849 |
---|---|
Former Name | ABDUKADIR OMAR |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2025-04-18 |
Last Update Date | 2025-04-18 |