Provider Demographics
NPI:1669268306
Name:REJOICE DEVELOPMENTAL DISABILITY SERVICE LLC
Entity type:Organization
Organization Name:REJOICE DEVELOPMENTAL DISABILITY SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:REGIS
Authorized Official - Middle Name:GEDEON
Authorized Official - Last Name:GUEDEGBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-804-9810
Mailing Address - Street 1:8710 F ST STE 128-130
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68127-1527
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8710 F ST STE 128
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68127-1532
Practice Address - Country:US
Practice Address - Phone:402-804-9810
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-18
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health