Provider Demographics
NPI:1508287053
Name:FREEMAN'S ASSISTED LIVING FACILITY
Entity Type:Organization
Organization Name:FREEMAN'S ASSISTED LIVING FACILITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NOLAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-310-8741
Mailing Address - Street 1:PO BOX 1574
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-0009
Mailing Address - Country:US
Mailing Address - Phone:972-310-8741
Mailing Address - Fax:888-817-8064
Practice Address - Street 1:2711 MCDANIEL ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77093-8107
Practice Address - Country:US
Practice Address - Phone:972-310-8741
Practice Address - Fax:888-817-8064
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-01
Last Update Date:2014-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility