Individual
ALIRE FRANK KOUTIEBOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14706 PRATT CT APT 302, OMAHA, NE 68116-6284
(201) 680-9359
Mailing address
14706 PRATT CT APT 302, OMAHA, NE 68116-6284
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/12/2025
Last updated
02/14/2025
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