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Organization
TONYA CLARK FREEMAN
Active
Organization
TONYA CLARK FREEMAN
Active
Other names
The Home Place
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA C FREEMAN (OWNER/ADMINISTRATOR)
(252) 642-2665
Entity
Organization
Contact information
Practice address
404 W RIVER ST, COLERAIN, NC 27924-8879
(252) 356-9954
Mailing address
404 W RIVER ST, COLERAIN, NC 27924-8879
(252) 356-9954
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
NULL
311ZA0620X
Adult Care Home Facility
Primary
FCL008043
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FCL008043
DHHS FAMILY CARE HOME LICENSE
NC
Enumeration date
06/22/2018
Last updated
06/30/2026
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