RACHIDI FRAISE ADEDOKOUN

OMAHA, NE
NPI1902295827
Former NameRACHIDI ADEDOKOUN
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
Additional Taxonomies320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
320700000X Residential Treatment Facility, Physical Disabilities
320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date2015-01-15
Last Update Date2015-01-15
Business Address
RACHIDI FRAISE ADEDOKOUN
4017 GREENE AVE
OMAHA, NE 68147-1819
Phone number: 402-686-6974
Mailing Address
RACHIDI FRAISE ADEDOKOUN
4017 GREENE AVE
OMAHA, NE 68147-1819
Phone number: 402-686-6974