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1336531003
TIM FREEMAN
LOST CREEK, WV
NPI
1336531003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
311ZA0620X Custodial Care Facility, Adult Care Home
Enumeration Date
2015-03-04
Last Update Date
2015-03-04
Business Address
Mr. TIM FREEMAN
3680 DUCK CREEK RD
LOST CREEK, WV 26385
Phone number: 910-670-4643
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Mailing Address
Mr. TIM FREEMAN
3680 DUCK CREEK RD
LOST CREEK, WV 26385-7482
Phone number: 910-670-4643
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