Individual
DIDIER KANGBENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1805 N 73RD ST, OMAHA, NE 68114-1905
(531) 232-3050
Mailing address
1805 N 73RD ST, OMAHA, NE 68114-1905
(531) 232-3050
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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