MEDICARE: RAYTONYA FREEMAN

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	253Z00000X	In Home Supportive Care Agency
2	251E00000X	Home Health Agency		FL

General Provider Information

NPI Number	:	1437734803
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAYTONYA FREEMAN

Provider Business Mailing Address
First Line	:	7316 WILDER AVE
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32208-4270
Country	:	US
Telephone Number	:	904-835-0722
Fax Number	:

Provider Business Practice Location Address
First Line	:	7316 WILDER AVE
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32208-4270
Country	:	US
Telephone Number	:	904-835-0722
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2021
Last Update Date	:	03/23/2026

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