RACHIDI FRAISE ADEDOKOUN NPI 1902295827

NPI Information

Rachidi Fraise Adedokoun is a community based residential treatment facility, intellectual and/or developmental disabilities in Omaha, NE. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. Rachidi Fraise Adedokoun NPI is 1902295827. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4017 GREENE AVE
OMAHA, NE
ZIP 68147-819
Phone: (402) 686-6974

The enumeration date for this NPI number is 1/15/2015 and was last updated on 1/15/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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