Organization
TONYA CLARK FREEMAN
Active
Parent organization
TONYA CLARK FREEMAN
Other names
The Home Place
Organization subpart
Yes
Provider details
NPI number
Legal business name
TONYA CLARK FREEMAN
Authorized official
TONYA CLARK FREEMAN (ADMINISTRATOR)
(252) 356-9954
Entity
Organization
Contact information
Practice address
404 W RIVER ST, COLERAIN, NC 27924-8879
(252) 642-4666
(252) 356-9954
Mailing address
404 W RIVER ST, COLERAIN, NC 27924-8879
(252) 642-4666
(252) 356-9954
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCH008043
NC
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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