Organization · NPI-2

Masola LLC

Assisted Living Facility · Racine, WI

NPI number1336099332
StatusActive
Last updated in NPPESJan 29, 2026

Details

NPI
1336099332
Entity type
Organization (NPI-2)
Legal business name
Masola LLC
Organization subpart
No
Enumeration date
Jan 29, 2026
Certification date
Jan 29, 2026
Last updated
Jan 29, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living Facility––Yes

Practice location

2513 N Main St
Racine, WI 53402-4417

Phone 262-412-5529

Mailing address

3324 Shorewood Dr
Racine, WI 53404

Phone 262-412-5529

Authorized official

Neema Abdiel Ndosi
Administrator
2624125529

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