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FREEDOM REST OF KENNESAW LLC
NPI 1306105812
Assisted Living Facility in Kennesaw, GA

Active since May 04, 2012
3351 OWENS BROOK WAY NW, KENNESAW, GA 30152(770) 693-0863(770) 693-0863 Get Directions Write a Review

NPPES record last updated: May 4, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Freedom Rest Of Kennesaw Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FREEDOM REST OF KENNESAW LLC (NPI 1306105812) is a healthcare organization registered as an assisted living facility in Kennesaw, Georgia and active in the NPI registry since May 2012. The organization lists Yolanda Letice Wilson, Director, as its authorized official.

NPPES Registry Identity

NPI1306105812
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameFREEDOM REST OF KENNESAW LLC
Location Address3351 OWENS BROOK WAY NWKennesaw, GA 30152-2566
Mailing Address3351 Owens Brook Way NwKennesaw, GA 30152-2566 · (770) 693-0863 · Fax (770) 693-0863
Phone(770) 693-0863
Fax(770) 693-0863
Organization SubpartNo
Authorized OfficialYolanda Letice WilsonDirector · (678) 499-6426
Enumeration DateMay 4, 2012
✔ NPI 1306105812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in GA · PCH006452
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
3351 OWENS BROOK WAY NW, Kennesaw, GA 30152
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Freedom Rest Of Kennesaw LLC's NPI number?

The NPI number for Freedom Rest Of Kennesaw LLC is 1306105812. It was assigned to this organization in the NPPES registry on May 4, 2012.

Where is Freedom Rest Of Kennesaw LLC located?

Freedom Rest Of Kennesaw LLC is located at 3351 Owens Brook Way NW, Kennesaw, GA 30152. The listed phone number is (770) 693-0863.

What is Freedom Rest Of Kennesaw LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Freedom Rest Of Kennesaw LLC was last updated on May 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.