Provider Demographics
NPI:1750159950
Name:ROAD2 FINANCIAL FREEDOM INC
Entity type:Organization
Organization Name:ROAD2 FINANCIAL FREEDOM INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:KEYARAH
Authorized Official - Middle Name:R
Authorized Official - Last Name:MCKENZIE SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:659-257-8668
Mailing Address - Street 1:1753 JEFFERSON AVE SW
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35211-3377
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1753 JEFFERSON AVE SW
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35211-3377
Practice Address - Country:US
Practice Address - Phone:659-257-8668
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-18
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes202K00000XAllopathic & Osteopathic PhysiciansPhlebologyGroup - Single Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
No332U00000XSuppliersHome Delivered Meals
No251E00000XAgenciesHome Health