Organization
NEW FREEDOM HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OTIS W WILLEY (OWNER)
(870) 336-0606
Entity
Organization
Contact information
Practice address
1306 STONE ST, JONESBORO, AR 72401-4522
(870) 336-0606
(870) 336-2265
Mailing address
1306 STONE ST, JONESBORO, AR 72401-4522
(870) 336-0606
(870) 336-2265
Taxonomy
Speciality
Code
Description
License number
State
332BD1200X
Dialysis Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167533716
—
AR
Enumeration date
04/12/2007
Last updated
04/27/2009
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