Organization
FREEDOM MANOR, INC.
Active
Other names
Freedom Manor - Cody's House
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARON L. PHILLIPS (OWNER)
(602) 956-5556
Entity
Organization
Contact information
Practice address
2116 W OCELOT DR, TUCSON, AZ 85713-1234
(602) 956-5556
(602) 957-6556
Mailing address
2524 E HEATHERBRAE DR, PHOENIX, AZ 85016-5668
(602) 956-5556
(602) 957-6556
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
ALH-4629
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
856065
PROVIDER ID
AZ
Enumeration date
12/19/2006
Last updated
08/22/2020
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