# NEW FREEDOM HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114141165
- **Authorized official:** MR. OTIS W WILLEY (OWNER)
- **Authorized official phone:** (870) 336-0606

## Contact information

- **Practice address:** 1306 STONE ST, JONESBORO, AR 72401-4522
- **Practice address phone:** (870) 336-0606
- **Practice address fax:** (870) 336-2265
- **Mailing address:** 1306 STONE ST, JONESBORO, AR 72401-4522
- **Mailing address phone:** (870) 336-0606
- **Mailing address fax:** (870) 336-2265

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BD1200X | Dialysis Equipment & Supplies (DME) | — | NULL | Yes |

## Other

- **Enumeration date:** 04/12/2007
- **Last updated:** 04/27/2009