Individual
WINDEWOUAGA WILFRIED THIERRY S KABORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1416 N 120TH PLZ APT 15, OMAHA, NE 68154-1354
(402) 812-5600
Mailing address
1416 N 120TH PLZ APT 15, OMAHA, NE 68154-1354
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
NE
Other
Enumeration date
10/03/2025
Last updated
10/03/2025
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