Individual
MR. SIDPASSATE FRANCK MAXIME KABORE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1805 N 73RD ST, OMAHA, NE 68114-1905
(402) 557-8583
Mailing address
7316 DECATUR ST APT 5, OMAHA, NE 68114-1839
(402) 800-4488
(402) 800-4488
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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