Individual
MOUSTAPHA DIOUME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6226 N 155TH AVE, OMAHA, NE 68116-4449
(347) 599-8486
Mailing address
6226 N 155TH AVE, OMAHA, NE 68116-4449
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/19/2025
Last updated
05/02/2025
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