Organization Name: | FREEDOM HOME MEDICAL LLC |
NPI Number: | 1144228081 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT A IVES (VP) |
Mailing Address: | 368 Gold Tip Dr Orem |
State: | UT US |
Postal Code: | 840585165 |
Phone Number: | 8018980180 |
Fax Number: | 8012291675 |
NPI Enumeration Date: | 07/13/2005 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 0120 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |