FREEDOM ROCK FAMILY ESTATES INC NPI 1225740277

NPI Information

NPI: 1225740277
Provider Name: FREEDOM ROCK FAMILY ESTATES INC
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address: 22552 RESTFUL LN
WAYNESVILLE, MO
ZIP 65583
Phone: (573) 774-3738

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NPI Details

FREEDOM ROCK FAMILY ESTATES INC is a residential treatment facility emotionally disturbed children in Waynesville, MO. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. FREEDOM ROCK FAMILY ESTATES INC NPI is 1225740277. The provider is registered as an organization entity type.

The provider's business location address is:

22552 RESTFUL LN
WAYNESVILLE, MO
ZIP 65583-375
Phone: (573) 774-3738
Fax: (573) 774-3738

The provider's authorized official is Chylon E Long-moses .
The authorized official title is Program Director and has the following contact phone number (913) 306-3052.

The enumeration date for this NPI number is 12/21/2022 and was last updated on 12/21/2022.

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
1	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children				Yes

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: 11/21/2025

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