| Tonya Clark Freeman | |
|
404 W River St Colerain NC 27924-8879 | |
| (252) 356-9954 | |
| Not Available |
| Full Name | Tonya Clark Freeman |
|---|---|
| Speciality | Custodial Care Facility - Adult Care Home |
| Location | 404 W River St, Colerain, North Carolina |
| Authorized Official Name and Position | Tonya C Freeman (OWNER/ADMINISTRATOR) |
| Authorized Official Contact | 2526422665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tonya Clark Freeman 404 W River St Colerain NC 27924-8879 Ph: (252) 356-9954 | Tonya Clark Freeman 404 W River St Colerain NC 27924-8879 Ph: (252) 356-9954 |
| NPI Number | 1275027294 |
|---|---|
| Provider Enumeration Date | 06/22/2018 |
| Last Update Date | 06/30/2026 |
| Certification Date | 06/30/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275027294 | NPI | - | NPPES |
| FCL008043 | Other | NC | DHHS FAMILY CARE HOME LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 311ZA0620X | Custodial Care Facility - Adult Care Home | FCL008043 (North Carolina) | Primary |
New Horizons Community Support Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 126 Nc Highway 42, Colerain, NC 27924 Phone: 252-209-5528 Fax: 252-794-5549 | |
Life Design Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 837 Meadow Rd, Colerain, NC 27924 Phone: 252-217-9893 | |
New Horizons Community Support Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 126 Nc Highway 42, Colerain, NC 27924 Phone: 252-482-8101 |