Healthcare Provider Details

I. General information

NPI: 1841048212
Provider Name (Legal Business Name): FREEDOM LOANS AND REAL ESTATE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2024
Last Update Date: 05/09/2024
Certification Date: 05/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25235 PERCH DR
DANA POINT CA
92629-2040
US

IV. Provider business mailing address

PO BOX 2269
HUNTINGTON BEACH CA
92647-0269
US

V. Phone/Fax

Practice location:
  • Phone: 714-589-0676
  • Fax:
Mailing address:
  • Phone: 714-589-0676
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: EMMA PHILLIPS
Title or Position: HR DIRECTOR
Credential:
Phone: 714-589-0676