# FREEDOM LIVING MEDICAL MANAGED CARE

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

## Provider details

- **NPI number:** 1417846619
- **Authorized official:** VIOLET GOODWIN (RESIDENT SUPERVISOR/COUNSELOR)
- **Authorized official phone:** (402) 651-8875

## Contact information

- **Practice address:** 4311 GRAND AVE, OMAHA, NE 68111
- **Practice address phone:** (402) 651-8875
- **Mailing address:** 4311 GRAND AVE, OMAHA, NE 68111
- **Mailing address phone:** (402) 651-8875

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | NULL | Yes |
| 101YP2500X | Professional Counselor | — | — | Yes |

## Other

- **Enumeration date:** 07/01/2025
- **Last updated:** 07/01/2025