Individual provider · Type 1 NPI

Gninnayere Yegnon

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Omaha, NE

NPI number 1013846740 Active

Practice location

1805 N 73rd St
Omaha, NE 68114-1905

Call (402) 557-8583 Map

Mailing address

7948 S 154th St
Omaha, NE 68138-3322

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1013846740

Gninnayere Yegnon's National Provider Identifier is 1013846740, issued on May 18, 2026. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Omaha, NE. The record was last updated on May 18, 2026.