NPI 1023823358

Wilfried Wango

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

Practice location

Address: 1813 N 73rd St, Omaha, NE 68114-1905
Phone: (402) 557-8583

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: 1023823358
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Feb 2025
Record last updated: 12 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.