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Organization

FREEDOM HEALTHCARE SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. HUNTER FARMER (PRESIDENT)
(412) 221-1091
Entity
Organization

Contact information

Practice address
316 STATION ST, SUITE 100, BRIDGEVILLE, PA 15017-1833
(412) 221-1091
(412) 221-2939
Mailing address
316 STATION ST, SUITE 100, BRIDGEVILLE, PA 15017-1833
(412) 221-1091
(412) 221-2939

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
261QM2800X
Methadone Clinic
707264
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
707264
PA FACILITY LICENSE
PA
Enumeration date
08/21/2008
Last updated
01/31/2012
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