# MOUNTAIN FREEDOM CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235853110
- **Authorized official:** MS. DEANA LOUISE CAIRO PA-C (OWNER)
- **Authorized official phone:** (443) 812-6652

## Contact information

- **Practice address:** 4265 WHITNEY PL, BOULDER, CO 80305-6710
- **Practice address phone:** (443) 812-6652
- **Mailing address:** 4265 WHITNEY PL, BOULDER, CO 80305-6710
- **Mailing address phone:** (443) 812-6652

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 261QA0600X | Adult Day Care Clinic/Center | — | NULL | — |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | NULL | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |

## Other

- **Enumeration date:** 10/03/2022
- **Last updated:** 10/03/2022