Organization
FREEDOM HOME MEDICAL LLC
Active
Other names
Freedom Home Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT A IVES (VP)
(801) 898-0180
Entity
Organization
Contact information
Practice address
368 GOLD TIP DR, OREM, UT 84058-5165
(801) 898-0180
(801) 229-1675
Mailing address
368 GOLD TIP DR, OREM, UT 84058-5165
(801) 898-0180
(801) 229-1675
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0120
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0739565
—
IA
05
—
203137668001
—
UT
05
—
4964865
—
MI
05
—
82774200
—
WI
Enumeration date
07/13/2005
Last updated
08/22/2020
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