MEDICARE: FREEDOM MEDICAL CLINIC ASSESSMENT AND MANAGEMENT

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	261Q00000X	Clinic/Center
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1780333609
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FREEDOM MEDICAL CLINIC ASSESSMENT AND MANAGEMENT

Provider Business Mailing Address
First Line	:	4239 PENN AVE STE 10
Second Line	:
City	:	SINKING SPRING
State	:	PA
Zip	:	19608-1373
Country	:	US
Telephone Number	:	610-507-9515
Fax Number	:

Provider Business Practice Location Address
First Line	:	4239 PENN AVE STE 10
Second Line	:
City	:	SINKING SPRING
State	:	PA
Zip	:	19608-1373
Country	:	US
Telephone Number	:	610-507-9515
Fax Number	:

Authorized Official
Title or Position	:	CRNP
Name	:	MS. IHUARULAM CHIDIEBERE OKOROJI
Credential	:	NURSE PRACTITIONER
Telephone Number	:	610-507-9515

Provider Enumeration Date	:	03/18/2022
Last Update Date	:	06/10/2025

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