Provider Demographics
NPI:1053841304
Name:FREEDOM WHEELS
Entity Type:Organization
Organization Name:FREEDOM WHEELS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCT
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:DONNELLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-864-1460
Mailing Address - Street 1:580 T C JESTER BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-1127
Mailing Address - Country:US
Mailing Address - Phone:713-864-1460
Mailing Address - Fax:713-864-1469
Practice Address - Street 1:580 T C JESTER BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77007-1127
Practice Address - Country:US
Practice Address - Phone:713-864-1460
Practice Address - Fax:713-864-1469
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health