Freedom Medical Supply LLC

NPI #1699779322 in Decatur, Illinois

Provider Information

NPI Number
1699779322
Entity Type
Organization
Organization Name
Freedom Medical Supply LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Jun 10, 2005
Last Updated
Apr 23, 2009

Practice Location

Address
2525 N MAIN ST
ZIP Code
62526-3227
Phone
(217) 422-2220

Authorized Official

Name
MRS. CANDACE POE, ATP
Title
OWNER/ MANAGER
Phone
(217) 422-2220

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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