Freedom Manor - Bandalier House

LBN: Freedom Manor, Inc.
Freedom Manor - Bandalier House is an health care organization with primary practice located at 2524 E Heatherbrae Dr , Phoenix AZ 85016-5668. The organization recently has only one registered license in Other Service Providers / Lodging, which is considered as the primary health care specialty. Freedom Manor, Inc. can be contacted via phone (602) 956-5556, or through Phillips, Sharon L. via phone (602) 956-5556.

Contact Information

Primary practice address
2524 E Heatherbrae Dr Phoenix AZ 85016-5668
Phone: (602) 956-5556
Fax: (602) 957-6556
Website:
Map and Directions
Authorized official contact:
Name: Phillips, Sharon L.
Phone: (602) 956-5556

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Lodging 177F00000X ALH-362 Arizona

Profile Details

NPI number 1134282080
LBN Legal business name Freedom Manor, Inc.
DBA Doing business as Freedom Manor - Bandalier House
Authorized official Phillips, Sharon L.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134282080 NPPES
Arizona Other 339128 PROVIDER ID

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