# TONYA CLARK FREEMAN

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TONYA CLARK FREEMAN
- **Other names:** The Home Place
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1649764762
- **Legal business name:** TONYA CLARK FREEMAN
- **Authorized official:** TONYA CLARK FREEMAN (ADMINISTRATOR)
- **Authorized official phone:** (252) 356-9954

## Contact information

- **Practice address:** 404 W RIVER ST, COLERAIN, NC 27924-8879
- **Practice address phone:** (252) 642-4666
- **Practice address fax:** (252) 356-9954
- **Mailing address:** 404 W RIVER ST, COLERAIN, NC 27924-8879
- **Mailing address phone:** (252) 642-4666
- **Mailing address fax:** (252) 356-9954

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | FCH008043 | NC | Yes |

## Other

- **Enumeration date:** 06/21/2018
- **Last updated:** 06/21/2018