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FREEDOM VILLA INC NPI 1497282800


NPI Information

NPI: 1497282800
Provider Name: FREEDOM VILLA INC
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
3509 ELIZABETH LAKE RD STE 102
WATERFORD, MI
ZIP 48328
Phone: (248) 681-3658
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FREEDOM VILLA INC is a community based residential treatment facility mental illness in Waterford, MI. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. FREEDOM VILLA INC NPI is 1497282800. The provider is registered as an organization entity type.

The provider's business location address is:

3509 ELIZABETH LAKE RD STE 102
WATERFORD, MI
ZIP 48328-003
Phone: (248) 681-3658
Fax: (248) 681-3658

The provider's authorized official is Olayemi Sanni .
The authorized official title is Administrative Director and has the following contact phone number (248) 895-7028.

The enumeration date for this NPI number is 5/16/2017 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessAS630377897MICHIGANNo
2320800000XCommunity Based Residential Treatment Facility, Mental IllnessAS630299536MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.