Organization Name: | FREEDOM HEALTHCARE SERVICES |
NPI Number: | 1205079084 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LOUIS H HUNTER (PRESIDENT) |
Mailing Address: | 316 Station St Suite 100 Bridgeville |
State: | PA US |
Postal Code: | 150171833 |
Phone Number: | 4122211091 |
Fax Number: | |
NPI Enumeration Date: | 04/09/2009 |
NPI Last Update Date: | 01/31/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1300X |
License Number: | 707264 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Multi-Specialty |
Taxonomy Definition: |