Provider Demographics
NPI:1548611304
Name:FREEDOM HOME HEALTH CARE SERVICES
Entity Type:Organization
Organization Name:FREEDOM HOME HEALTH CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MUTINDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-591-5632
Mailing Address - Street 1:777 CHERRY TREE RD
Mailing Address - Street 2:APT C-37
Mailing Address - City:UPPER CHICHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19014-2452
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:777 CHERRY TREE RD
Practice Address - Street 2:APT C-37
Practice Address - City:UPPER CHICHESTER
Practice Address - State:PA
Practice Address - Zip Code:19014-2452
Practice Address - Country:US
Practice Address - Phone:267-591-5632
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-23
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health