Organization
MASOLA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEEMA ABDIEL NDOSI (ADMINISTRATOR)
(262) 412-5529
Entity
Organization
Contact information
Practice address
2513 N MAIN ST, RACINE, WI 53402-4417
(262) 412-5529
Mailing address
3324 SHOREWOOD DR, RACINE, WI 53404
(262) 412-5529
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/29/2026
Last updated
01/29/2026
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