Organization
FREEDOM CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN WOLF (GC & CCO)
(718) 989-9710
Entity
Organization
Contact information
Practice address
1979 MARCUS AVE., SUITE C115, NEW HYDE PARK, NY 11042-1001
(718) 989-9710
(718) 989-3724
Mailing address
1979 MARCUS AVE., SUITE C115, NEW HYDE PARK, NY 11042-1001
(718) 989-9710
(718) 989-3724
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NY
251E00000X
Home Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04267378
—
NY
01
—
A4JJ
ETIN
NY
Enumeration date
02/10/2016
Last updated
09/11/2020
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