Healthcare Provider Details

I. General information

NPI: 1801051651
Provider Name (Legal Business Name): FREEDOM LIFTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2008
Last Update Date: 07/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

854 PROVIDENCE PIKE
DANIELSON CT
06239-3901
US

IV. Provider business mailing address

854 PROVIDENCE PIKE
DANIELSON CT
06239-3901
US

V. Phone/Fax

Practice location:
  • Phone: 860-774-0736
  • Fax: 860-774-1202
Mailing address:
  • Phone: 860-774-0736
  • Fax: 860-774-1202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number80
License Number StateRI

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MRS. DEIRDRE J CAFFREY
Title or Position: PARTNER
Credential:
Phone: 860-774-0736