Provider Demographics
NPI:1346516788
Name:FREYAN HEALTH SERVICES,LLC
Entity Type:Organization
Organization Name:FREYAN HEALTH SERVICES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:IYAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:OBANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-431-6754
Mailing Address - Street 1:1606 SHADOW BROOK TRL
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-1785
Mailing Address - Country:US
Mailing Address - Phone:214-431-6754
Mailing Address - Fax:
Practice Address - Street 1:1606 SHADOW BROOK TRL
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-1785
Practice Address - Country:US
Practice Address - Phone:214-431-6754
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-29
Last Update Date:2012-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home