Organization
ETERNAL ADULT FAMILY HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABOKOR JAMA ABDI (OWNER)
(262) 955-5664
Entity
Organization
Contact information
Practice address
N61W23963 SUMAC LN, SUSSEX, WI 53089-3720
(262) 955-5664
Mailing address
N61W23963 SUMAC LN, SUSSEX, WI 53089-3720
(262) 955-5664
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/01/2026
Last updated
07/01/2026
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