| NPI Details | |
|---|---|
| NPI | 1174670822 |
| Enumeration Date | 01/04/2007 |
| Last Updated | 07/08/2007 |
| Entity Type | Healthcare Provider |
| Active | Over 11 years ago |
| Authorized Information | |
|---|---|
| Name | EDDIE BAKER EDDIE |
| Position | PRESIDENT |
| Phone | (214) 725-4009 |
| Fax | (972) 274-1027 |
| Practice Location | |
|---|---|
| 2714 COLOSSEUM WAY GRAND PRAIRIE TX, 75052-7021, US |
|
| Phone | (214) 725-4009 |
| Fax | (972) 274-1027 |
| Business Location | |
|---|---|
| PO BOX 541204 GRAND PRAIRIE TX, 75054-1204, US |
|
| Phone | (214) 725-4009 |
| Fax | (972) 274-1027 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 171M00000X |
| License State | |
| License Number | |
| Remove 1174670822 NPI Number | |
According to our database, Freeman Home Community Services NPI is 1174670822, taxonomy code is 171M00000X Freeman Home Community Services physically located at 2714 Colosseum Way, Grand Prairie TX, 75052-7021. NPI Number 1033115704 has the healthcare provider type.
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1174670822 NPI number is provided on an as is basis without warranty of any kind. 1174670822 is maintained by the National Plan & Provider Enumeration System. The contents of Freeman Home Community Services are for informational purposes only.
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