Individual provider · Type 1 NPI
Sewlan Zoungbowenon
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Bennington, NE
Practice location
7829 N 153rd St
Bennington, NE 68007-1564
Mailing address
1805 N 73rd St
Omaha, NE 68114-1905
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None 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.
Another provider at this address
Other intellectual and/or developmental disabilities community based residential treatment facility providers in Bennington
About NPI 1205641685
Sewlan Zoungbowenon's National Provider Identifier is 1205641685, issued on Feb 11, 2025. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Bennington, NE. The record was last updated on Feb 11, 2025.