Provider Demographics
NPI:1124653423
Name:FREEDOM IN MOBILITY
Entity type:Organization
Organization Name:FREEDOM IN MOBILITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AR MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:BLACKBURN
Authorized Official - Last Name:BURCHFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-517-4404
Mailing Address - Street 1:PO BOX 381034
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38183-1034
Mailing Address - Country:US
Mailing Address - Phone:901-674-3879
Mailing Address - Fax:
Practice Address - Street 1:1315 FLETCHER ST NW STE B
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4665
Practice Address - Country:US
Practice Address - Phone:901-674-3879
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-06
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment