Provider Demographics
NPI:1174670822
Name:FREEMAN HOME COMMUNITY SERVICES
Entity Type:Organization
Organization Name:FREEMAN HOME COMMUNITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EDDIE
Authorized Official - Middle Name:BAKER
Authorized Official - Last Name:FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-660-6068
Mailing Address - Street 1:PO BOX 541204
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75054-1204
Mailing Address - Country:US
Mailing Address - Phone:214-725-4009
Mailing Address - Fax:972-274-1027
Practice Address - Street 1:2714 COLOSSEUM WAY
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75052-7021
Practice Address - Country:US
Practice Address - Phone:214-725-4009
Practice Address - Fax:972-274-1027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty