Healthcare Provider Details

I. General information

NPI: 1497470884
Provider Name (Legal Business Name): FREEDOM UNMEASURED, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2022
Last Update Date: 10/07/2022
Certification Date: 10/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1536 SAINT CLAIR AVE NE STE 27
CLEVELAND OH
44114-2004
US

IV. Provider business mailing address

1536 SAINT CLAIR AVE NE STE 27
CLEVELAND OH
44114-2004
US

V. Phone/Fax

Practice location:
  • Phone: 216-785-1088
  • Fax:
Mailing address:
  • Phone: 216-785-1088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. JASON MCQUATER SR.
Title or Position: OWNER/CEO
Credential:
Phone: 216-785-1088