Provider Demographics
NPI:1972601771
Name:FREEDOM MOBILITY LLC
Entity Type:Organization
Organization Name:FREEDOM MOBILITY LLC
Other - Org Name:MOBILITY EXPRESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:S
Authorized Official - Last Name:MIOZZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-693-9600
Mailing Address - Street 1:226 E PENN AVE
Mailing Address - Street 2:
Mailing Address - City:ROBESONIA
Mailing Address - State:PA
Mailing Address - Zip Code:19551-1530
Mailing Address - Country:US
Mailing Address - Phone:610-693-9600
Mailing Address - Fax:610-693-9603
Practice Address - Street 1:226 E PENN AVE
Practice Address - Street 2:
Practice Address - City:ROBESONIA
Practice Address - State:PA
Practice Address - Zip Code:19551-1530
Practice Address - Country:US
Practice Address - Phone:610-693-9600
Practice Address - Fax:610-693-9603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA39HB18OtherCAPITAL BLUE CROSS
PA1666755OtherHIGHMARK BLUE SHIELD
PA1666755OtherHIGHMARK BLUE SHIELD