Provider Demographics
NPI:1083073126
Name:FREEDOM PATHWAYS, LLC
Entity type:Organization
Organization Name:FREEDOM PATHWAYS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:FLORA
Authorized Official - Middle Name:JOANNE
Authorized Official - Last Name:BLEHM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-296-7181
Mailing Address - Street 1:PO BOX 56
Mailing Address - Street 2:
Mailing Address - City:MONUMENT
Mailing Address - State:CO
Mailing Address - Zip Code:80132-0056
Mailing Address - Country:US
Mailing Address - Phone:720-296-7181
Mailing Address - Fax:
Practice Address - Street 1:20021 THUNDER RD W
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80908-1112
Practice Address - Country:US
Practice Address - Phone:720-296-7181
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-17
Last Update Date:2017-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled Services