NPI 1013846740

Gninnayere Yegnon

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

Practice location

Address: 1805 N 73rd St, Omaha, NE 68114-1905
Phone: (402) 557-8583
Mailing address: 7948 S 154th St, Omaha, NE 68138-3322

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Nebraska →

Registry record

NPI: 1013846740
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 May 2026
Record last updated: 18 May 2026

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.