Individual provider · Type 1 NPI
Tim Freeman
Adult Care Home Facility · Lost Creek, WV
NPI number
1336531003
Active
Practice location
3680 Duck Creek Rd
Lost Creek, WV 26385
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
About NPI 1336531003
Tim Freeman's National Provider Identifier is 1336531003, issued on Mar 4, 2015. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Lost Creek, WV. The record was last updated on Mar 4, 2015.