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NPI Code Detail

MEDICARE: FREYA ENTERPRISE LLC

MEDICARE: FREYA ENTERPRISE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13245S0500XChildren's Substance Abuse Rehabilitation Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629673900
Entity Type Code : Organization
Provider Name (Legal Business Name) : FREYA ENTERPRISE LLC
Provider Business Mailing Address
First Line : 1215 1ST AVE
Second Line :
City : MIDDLETOWN
State : OH
Zip : 45044-4117
Country : US
Telephone Number : 513-623-9825
Fax Number :
Provider Business Practice Location Address
First Line : 1215 1ST AVE
Second Line :
City : MIDDLETOWN
State : OH
Zip : 45044-4117
Country : US
Telephone Number : 513-623-9825
Fax Number :
Authorized Official
Title or Position : BUSINESS OWNER
Name : ERICA NORTON
Credential :
Telephone Number : 513-615-9624
Provider Enumeration Date : 12/03/2020
Last Update Date : 10/05/2022

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1306414149 — ERICA NORTON
Practice Location Address:
1215 1ST AVE
MIDDLETOWN, OH
45044-4117
Practice Phone: 513-615-9624
Practice Fax: 513-849-2071

Directions to “FREYA ENTERPRISE LLC ” Practice Location

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