Provider Demographics
NPI:1942987987
Name:AZ FREEDOM TRANSPORATION
Entity Type:Organization
Organization Name:AZ FREEDOM TRANSPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER AND OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:CAITLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:TORREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-697-0415
Mailing Address - Street 1:4063 W DAYFLOWER DR
Mailing Address - Street 2:
Mailing Address - City:SAN TAN VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85144-1361
Mailing Address - Country:US
Mailing Address - Phone:505-697-0415
Mailing Address - Fax:
Practice Address - Street 1:4063 W DAYFLOWER DR
Practice Address - Street 2:
Practice Address - City:SAN TAN VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85144-1361
Practice Address - Country:US
Practice Address - Phone:505-697-0415
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-30
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company