Organization
FREEDOM IN HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHEENA M JOHNSON (CEO)
(702) 433-1224
Entity
Organization
Contact information
Practice address
3110 POLARIS AVE, UNIT 26, LAS VEGAS, NV 89102-8318
(702) 433-1224
(702) 433-1227
Mailing address
3110 POLARIS AVE, UNIT 26, LAS VEGAS, NV 89102-8318
(702) 433-1224
(702) 433-1227
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
NV20111250975
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30
—
NV
05
—
58
—
NV
05
—
83
—
NV
Enumeration date
08/10/2011
Last updated
08/10/2011
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