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Organization
INEZ GWENDOLYN FREEMAN, ROBERT LEE FREEMAN
Active
Organization
INEZ GWENDOLYN FREEMAN, ROBERT LEE FREEMAN
Active
Other names
Inez Gwendolyn Freeman
Organization subpart
No
Provider details
NPI number
Authorized official
MISS INEZ GWENDOLYN FREEMAN (OWNER)
(321) 956-3190
Entity
Organization
Contact information
Practice address
1771 HALFMOON ST NW, PALM BAY, FL 32907-9220
(321) 956-3190
Mailing address
1771 HALFMOON ST NW, PALM BAY, FL 32907-9220
(321) 956-3190
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906248
FL
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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