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Freedom Oaks Assisted Living, Inc.

NPI Registration Record

Provider / OrganizationNPIDate Certified
FREEDOM OAKS ASSISTED LIVING, INC.11640375292020-09-12
Entity TypeOrganization
Provider OrganizationFREEDOM OAKS ASSISTED LIVING, INC.
Practice Office Address579 JOHNSON LAKE RD
DE LEON SPRINGS, FL US
Practice Office Telephone3862772010
Practice Office Fax3862772010
Mailing Address579 JOHNSON LAKE RD
DE LEON SPRINGS, FL 321303636 US
Business Telephone3862772010
Business Fax3862772010
Authorized OfficialERICA HULL, ADMINISTRATOR
3863164633
HPT Codes
CodeLicense NoState
310400000X PRIMARY
OPI Codes
106622400 MEDICAID FL
Governmental Registrations [CAGE/NCAGE/DUNS]

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