Individual
HIPPOLYTE SAOURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14210 ARBOR ST STE A, OMAHA, NE 68144-2382
(531) 999-1133
Mailing address
16322 CORBY ST, OMAHA, NE 68116-2590
(713) 349-4480
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/19/2025
Last updated
06/30/2026
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