Organization
INEZ GWENDOLYN FREEMAN, ROBERT LEE FREEMAN
Active
Other names
Inez Gwendolyn Freeman
Organization subpart
No
Provider details
NPI number
Authorized official
MISS INEZ GWENDOLYN FREEMAN (OWNER)
(321) 956-3190
Entity
Organization
Contact information
Practice address
1771 HALFMOON ST NW, PALM BAY, FL 32907-9220
(321) 956-3190
Mailing address
1771 HALFMOON ST NW, PALM BAY, FL 32907-9220
(321) 956-3190
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906248
FL
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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