Healthcare Provider Details

I. General information

NPI: 1750159950
Provider Name (Legal Business Name): ROAD2 FINANCIAL FREEDOM INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2023
Last Update Date: 12/28/2023
Certification Date: 12/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1753 JEFFERSON AVE SW
BIRMINGHAM AL
35211-3377
US

IV. Provider business mailing address

1753 JEFFERSON AVE SW
BIRMINGHAM AL
35211-3377
US

V. Phone/Fax

Practice location:
  • Phone: 659-257-8668
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code202K00000X
TaxonomyPhlebology Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. KEYARAH R MCKENZIE SMITH
Title or Position: CEO
Credential:
Phone: 659-257-8668