Healthcare Provider Details

I. General information

NPI: 1780333609
Provider Name (Legal Business Name): FREEDOM MEDICAL CLINIC ASSESSMENT AND MANAGEMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2022
Last Update Date: 06/10/2025
Certification Date: 06/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4239 PENN AVE STE 10
SINKING SPRING PA
19608-1373
US

IV. Provider business mailing address

4239 PENN AVE STE 10
SINKING SPRING PA
19608-1373
US

V. Phone/Fax

Practice location:
  • Phone: 610-507-9515
  • Fax:
Mailing address:
  • Phone: 610-507-9515
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. IHUARULAM CHIDIEBERE OKOROJI
Title or Position: CRNP
Credential: NURSE PRACTITIONER
Phone: 610-507-9515