Organization
SUPPORT COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEINDRICK AFRANDIS ADOUNVO (ONWER)
(970) 405-5916
Entity
Organization
Contact information
Practice address
8031 W CENTER RD STE 100, OMAHA, NE 68124-3134
(402) 510-9396
Mailing address
8031 W CENTER RD STE 100, OMAHA, NE 68124-3134
(402) 510-9396
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
311ZA0620X
Adult Care Home Facility
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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