Organization
FREEDOMCARE OF WA, LLC
Active
Other names
FreedomCare
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VIVIAN M. SHAMMEL (GENERAL MANAGER)
50927028255
Entity
Organization
Contact information
Practice address
13120 E 14TH AVE, SPOKANE VALLEY, WA 99037
(509) 270-2825
Mailing address
PO BOX 1791, SPOKANE VALLEY, WA 99037-1791
(509) 270-2825
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
IHS.FS.60114824
WA
Other
Enumeration date
01/27/2010
Last updated
01/27/2010
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