Organization
FREEDOM AT HOME HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANNON NICOLLE WENDT-LISIY (OWNER)
(215) 876-0083
Entity
Organization
Contact information
Practice address
6410 A RISING SUN AVE, PHILADELPHIA, PA 19111-5229
(215) 876-0083
(215) 278-4272
Mailing address
26 DOLTON ROAD, FEASTERVILLE TREVOSE, PA 19053-6457
(215) 876-0083
(215) 278-4272
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103273120
—
PA
Enumeration date
12/29/2016
Last updated
09/07/2021
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