Organization · Type 2 NPI

Freedom Ministries Church and Outreach

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Concord, NC

NPI number 1275922171 Active

Practice location

539 Railway Place
Concord, NC 28025-0000

Specialties and licenses

Taxonomy	Code	License
Custodial Care Facility	311Z00000X	None listed
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary	320900000X	None listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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NPI record

NPI: 1275922171
Entity type: Organization (Type 2)
Issued: Jan 15, 2015
Last updated: Jan 15, 2015
Status: Active
Subpart: Yes of Freedom Ministries Church and Outreach

Other names

<unavail>
Donna's Home Healthcare · former legal business name

Authorized official

Donna Wall
Owner
(704) 231-6935

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1275922171

Freedom Ministries Church and Outreach's National Provider Identifier is 1275922171, issued on Jan 15, 2015. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Concord, NC. The record was last updated on Jan 15, 2015.