MEDICARE: FREEDOM PATHWAYS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251C00000X	Developmentally Disabled Services Day Training Agency
2	376J00000X	Homemaker

General Provider Information

NPI Number	:	1083073126
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FREEDOM PATHWAYS, LLC

Provider Business Mailing Address
First Line	:	PO BOX 56
Second Line	:
City	:	MONUMENT
State	:	CO
Zip	:	80132-0056
Country	:	US
Telephone Number	:	720-296-7181
Fax Number	:

Provider Business Practice Location Address
First Line	:	20021 THUNDER RD W
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80908-1112
Country	:	US
Telephone Number	:	720-296-7181
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MS. FLORA JOANNE BLEHM
Credential	:
Telephone Number	:	720-296-7181

Provider Enumeration Date	:	02/17/2016
Last Update Date	:	12/31/2017

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Directions to “FREEDOM PATHWAYS, LLC ” Practice Location

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