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General NPI Number Information
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NPI Number | 1518846765
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Entity Type | Organization
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Legal Business Name | FREEMAN ASSISTED LIVING LLC
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Dates
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Enumeration Date | 09/01/2025
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Last Update Date | 09/01/2025
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Provider Practice Location Address
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Address Line | 12842 BUCKLAND ST
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City | WELLINGTON
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State | FL
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Zip | 33414-6223
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Country | US
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Telephone | 561-601-3526
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Fax |
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Provider Business Mailing Address
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Address Line | 4047 OKEECHOBEE BLVD STE 112
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-3236
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Country | US
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Telephone | 561-601-3526
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. ISAAC ANTOINE
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Credential |
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Telephone | 561-601-3526
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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