# FREEDOM CARE HOME LLC

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

## Provider details

- **NPI number:** 1407108368
- **Authorized official:** GEOVANEE SANTIAGO LAYA RN (MEMBER)
- **Authorized official phone:** (808) 722-1039

## Contact information

- **Practice address:** 91-1191 KAMOAWA ST, EWA BEACH, HI 96706-4506
- **Practice address phone:** (808) 722-1039
- **Practice address fax:** (808) 312-4189
- **Mailing address:** 91-1191 KAMOAWA ST, EWA BEACH, HI 96706-4506
- **Mailing address phone:** (808) 722-1039
- **Mailing address fax:** (808) 312-4189

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 68352 | HI | Yes |

## Other

- **Enumeration date:** 10/02/2012
- **Last updated:** 10/02/2012