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NPI Code Detail

MEDICARE: FREEDOM AT HOME, LLC

MEDICARE: FREEDOM AT HOME, 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
1253Z00000XIn Home Supportive Care Agency27833601PA

General Provider Information

NPI Number : 1497136279
Entity Type Code : Organization
Provider Name (Legal Business Name) : FREEDOM AT HOME, LLC
Provider Business Mailing Address
First Line : 1226 STOLTZ RD
Second Line :
City : BETHEL PARK
State : PA
Zip : 15102-3782
Country : US
Telephone Number : 412-835-4663
Fax Number : 412-835-1233
Provider Business Practice Location Address
First Line : 1226 STOLTZ RD
Second Line :
City : BETHEL PARK
State : PA
Zip : 15102-3782
Country : US
Telephone Number : 412-835-4663
Fax Number : 412-835-1233
Authorized Official
Title or Position : ADMINISTRATOR/OWNER
Name : MRS. MARCIA RENEE MATTHEWS
Credential : RN
Telephone Number : 412-835-4663
Provider Enumeration Date : 06/17/2015
Last Update Date : 06/17/2015

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Directions to “FREEDOM AT HOME, LLC ” Practice Location

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