Organization
FREEDOM ADULT FOSTER CARE CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANNY WAYNE SOUHEAVER SR. (PRESIDENT)
(248) 625-7923
Entity
Organization
Contact information
Practice address
3990 BIRD RD, CLARKSTON, MI 48348-1014
(248) 625-7923
(248) 625-1852
Mailing address
PO BOX 1588, CLARKSTON, MI 48347-1588
(248) 625-7923
(248) 625-1852
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
MI
Other
Enumeration date
05/04/2007
Last updated
08/22/2020
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