Freedom Adult Foster Care Corp. in Clarkston - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities

Freedom Adult Foster Care Corp. - NPI 1306058060

Freedom Adult Foster Care Corp. is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Clarkston, Michigan. Freedom Adult Foster Care Corp. practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Freedom Adult Foster Care Corp. is 1306058060. The last update date is 2020-08-22.

Freedom Adult Foster Care Corp.'s current location address is Po Box 1588, Clarkston, Michigan. You can contact this provider via phone number 2486257923 and fax number 2486251852. The mailing address for Freedom Adult Foster Care Corp. is Po Box 1588, Clarkston, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Freedom Adult Foster Care Corp.
Address Po Box 1588, Clarkston, Michigan
Phone Number 2486257923
Fax Number 2486251852
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Souheaver Wayne Danny
Telephone Number 2486257923

NPI Number Detail

NPI Number 1306058060
Provider Enumeration Date 2007-05-04
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address Po Box 1588
City Clarkston
State Michigan (MI)
Post Code 483471588
Phone Number 2486257923
Fax Number 2486251852

Provider's Primary Taxonomy Detail

Speciality Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Taxonomy 320900000X
Definition:
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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FAQs about Freedom Adult Foster Care Corp.

What is the unique identification code assigned to Freedom Adult Foster Care Corp. by the Centers for Medicare & Medicaid Services?

The Freedom Adult Foster Care Corp. has been issued the NPI (National Provider Identifier) 1306058060. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Freedom Adult Foster Care Corp.'s physical address?

The Freedom Adult Foster Care Corp. is physically located at Po Box 1588, in the city of Clarkston, MI, with the postal code 483471588.

What is Freedom Adult Foster Care Corp.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Freedom Adult Foster Care Corp. is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that categorizes this field of expertise is 320900000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1306058060 to Freedom Adult Foster Care Corp.?

The Centers for Medicare & Medicaid Services originally issued the 1306058060 to Freedom Adult Foster Care Corp. on 2007-05-04.

As of what date were the details related to Freedom Adult Foster Care Corp. most recently updated or revised?

The information pertaining to Freedom Adult Foster Care Corp., including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.

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