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KOFFI ATIVON
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI: 1417746165Individual
Specialties, Licenses & Credentials
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Code: 320900000X
Contact & Hours
- Address
- 2990 S 93RD PLZ APT 62
OMAHA, NE 68124 - Phone
- (402) 618-5006
Quick Facts
- NPI
- 1417746165
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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