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Freedom Mobility, LLC

Durable Medical Equipment & Medical Supplies in Little Rock, AR. Organization (NPI-2).

NPI number1356779367
StatusActive
Last updated in NPPESNov 30, 2020

Details

NPI
1356779367
Entity type
Organization (NPI-2)
Legal business name
Freedom Mobility, LLC
Organization subpart
No
Enumeration date
Oct 30, 2013
Certification date
Nov 30, 2020
Last updated
Nov 30, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies–ARYes

Practice location

10515 W Markham St
Soho Centre H6
Little Rock, AR 72205-2297

Phone 501-413-4855

Mailing address

10515 W Markham St
Suite H6
Little Rock, AR 72205-2297

Phone 501-413-4855 · Fax 866-929-2005

Authorized official

Bryce Matthew Walzer
Ceo
5014134855

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