Provider Demographics
NPI:1992242317
Name:FUTURE FREEDOM CARE, LLC
Entity type:Organization
Organization Name:FUTURE FREEDOM CARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:FRONCEK
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:215-422-3095
Mailing Address - Street 1:715 TWINING RD STE 109
Mailing Address - Street 2:
Mailing Address - City:DRESHER
Mailing Address - State:PA
Mailing Address - Zip Code:19025-1832
Mailing Address - Country:US
Mailing Address - Phone:215-422-3095
Mailing Address - Fax:
Practice Address - Street 1:814 HAMEL AVE
Practice Address - Street 2:
Practice Address - City:GLENSIDE
Practice Address - State:PA
Practice Address - Zip Code:19038-2701
Practice Address - Country:US
Practice Address - Phone:215-422-3095
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-24
Last Update Date:2017-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care