Individual provider · Type 1 NPI

Roland Zoungrana

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

NPI number 1619781192 Active

Practice location

2110 N 143rd Ave
Omaha, NE 68164-3147

Call (402) 557-8583 Map

Mailing address

1813 N 73rd St
Omaha, NE 68114-1905

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 1619781192

Roland Zoungrana's National Provider Identifier is 1619781192, issued on Feb 4, 2025. 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 Feb 4, 2025.