MEDICARE: TYPE FREE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1578709028
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TYPE FREE, LLC

Provider Business Mailing Address
First Line	:	3621 FAVERO RD
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23233-7070
Country	:	US
Telephone Number	:	804-364-2944
Fax Number	:	804-364-2945

Provider Business Practice Location Address
First Line	:	3621 FAVERO RD
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23233-7070
Country	:	US
Telephone Number	:	804-364-2944
Fax Number	:	804-364-2945

Authorized Official
Title or Position	:	CEO
Name	:	MS. ANN-MARIE AUSTIN-STEPHENS
Credential	:	MBA
Telephone Number	:	804-364-2944

Provider Enumeration Date	:	01/05/2009
Last Update Date	:	01/05/2009

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Directions to “TYPE FREE, LLC ” Practice Location

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