Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Egnonche Mitchozounnou

Individual provider Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1124987102

Egnonche Mitchozounnou is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Omaha, Nebraska. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

1805 N 73rd St
Omaha, NE 68114-1905
Phone: (402) 557-8583
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X

Record details

NPI number1124987102
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 16, 2026
Last updated in NPPESJanuary 16, 2026
Certification dateJanuary 16, 2026

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