NPI 1831906247
Support Community Services
Practice location
- Address
- 8031 W Center Rd STE 100, Omaha, NE 68124-3134
- Phone
- (402) 510-9396
Authorised official
- Name
- Heindrick Afrandis Adounvo
- Title
- Onwer
- Phone
- (970) 405-5916
Registered specialties (3)
Intellectual Disabilities Intermediate Care Facility
Primary
In Home Supportive Care Agency
Adult Care Home Facility
Registry record
- NPI
- 1831906247
- Entity type
- Organization
- NPI issued
- 18 Dec 2024
- Record last updated
- 18 Dec 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.