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Rachidi Fraise Adedokoun
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Omaha, Nebraska
NPI 1902295827

Rachidi Fraise Adedokoun is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Omaha, NE. Rachidi Fraise Adedokoun practices in Omaha, NE. The NPI Number for Rachidi Fraise Adedokoun is 1902295827 and holds a License No. (Nebraska).

The current practice location address for Rachidi Fraise Adedokoun is 4017 Greene Ave, Omaha, NE and can be reached out via phone at 402-686-6974.

Location: 4017 Greene Ave, Omaha, NE, 68147-1819
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902295827
Provider Name
Rachidi Fraise Adedokoun
Credential
Provider Entity Type
Individual
Gender
Male
Address
4017 Greene Ave, Omaha, NE, 68147-1819
Phone Number
402-686-6974
Fax Number
Provider Enumeration Date
01/15/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4017 Greene Ave
City
Omaha
State
Nebraska
Zip
68147-1819
Phone Number
402-686-6974
Fax Number
person
Provider Business Mailing Address Details
Address
4017 Greene Ave
City
Omaha
State
Nebraska
Zip
68147-1819
Phone Number
402-686-6974
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Physical Disabilities
Speciality
-
Taxonomy
320700000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
person
Provider's Taxonomy Details 4
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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