Provider Demographics
NPI:1235829433
Name:FREEDOM IN MOBILITY, LLC
Entity Type:Organization
Organization Name:FREEDOM IN MOBILITY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:GLASS
Authorized Official - Last Name:OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-366-2220
Mailing Address - Street 1:PO BOX 381034
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38183-1034
Mailing Address - Country:US
Mailing Address - Phone:901-674-3879
Mailing Address - Fax:
Practice Address - Street 1:1024 DUTCH VALLEY DR STE B
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37918-7080
Practice Address - Country:US
Practice Address - Phone:865-351-1369
Practice Address - Fax:865-381-1987
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-10
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment