NPI 1003613878

Mamadou Sagnon

Practitioner Adult Companion Elkhorn, NE

Practice location

Address: 19105 Lake St, Elkhorn, NE 68022-7905
Phone: (531) 210-8088
Mailing address: 6818 Grover St STE 200, Omaha, NE 68106-3632

Registered specialties (3)

Adult Companion Primary

Nursing Service Related Providers Taxonomy 372600000X

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Child Intellectual and/or Developmental Disabilities Respite Care

Respite Care Facility Taxonomy 385HR2060X

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Homemaker

Nursing Service Related Providers Taxonomy 376J00000X

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Registry record

NPI: 1003613878
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Feb 2025
Record last updated: 27 Feb 2025

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.