Organization
FREEDOM PROVIDERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRISHA ANN WONSOWICZ (OWNER)
(734) 353-2047
Entity
Organization
Contact information
Practice address
3722 MCINTOSH LN, CARLETON, MI 48117-9455
(734) 353-2047
(734) 795-6399
Mailing address
3722 MCINTOSH LN, CARLETON, MI 48117-9455
(734) 353-2047
(734) 795-6399
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7945811
—
MI
Enumeration date
05/24/2016
Last updated
05/24/2016
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