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NPI Code Detail

MEDICARE: FREEDOM HEALTHCARE INC.

MEDICARE: FREEDOM HEALTHCARE INC.
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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1508172164
Entity Type Code : Organization
Provider Name (Legal Business Name) : FREEDOM HEALTHCARE INC.
Provider Business Mailing Address
First Line : 4145 WAGON TRAIL AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89118-4426
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4145 WAGON TRAIL AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89118-4426
Country : US
Telephone Number : 702-940-5029
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MARTIN THUNA
Credential :
Telephone Number : 702-940-5029
Provider Enumeration Date : 08/20/2010
Last Update Date : 08/20/2010

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Directions to “FREEDOM HEALTHCARE INC. ” Practice Location

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