Organization
FREEDOM CARE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEOVANEE SANTIAGO LAYA RN (MEMBER)
(808) 722-1039
Entity
Organization
Contact information
Practice address
91-1191 KAMOAWA ST, EWA BEACH, HI 96706-4506
(808) 722-1039
(808) 312-4189
Mailing address
91-1191 KAMOAWA ST, EWA BEACH, HI 96706-4506
(808) 722-1039
(808) 312-4189
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
68352
HI
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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