Provider Demographics
NPI:1376302281
Name:FREEMANS QUALITY HOME CARE LLC
Entity Type:Organization
Organization Name:FREEMANS QUALITY HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LA SHAWNDA
Authorized Official - Middle Name:
Authorized Official - Last Name:FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-626-3282
Mailing Address - Street 1:457 S EDGEHILL AVE
Mailing Address - Street 2:
Mailing Address - City:AUSTINTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44515-3402
Mailing Address - Country:US
Mailing Address - Phone:412-626-3282
Mailing Address - Fax:
Practice Address - Street 1:457 S EDGEHILL AVE
Practice Address - Street 2:
Practice Address - City:AUSTINTOWN
Practice Address - State:OH
Practice Address - Zip Code:44515-3402
Practice Address - Country:US
Practice Address - Phone:412-626-3282
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-14
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health