Organization
FREEDOM MOBILITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULINE R MCCANLESS OWNER (OWNER)
(317) 209-8004
Entity
Organization
Contact information
Practice address
222 SHELTON DRIVE, AVON, IN 46123
(317) 209-8004
(317) 272-1966
Mailing address
222 SHELTON DRIVE, AVON, IN 46123
(317) 209-8004
(317) 272-1966
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
69000088A
IN
Other
Enumeration date
02/22/2007
Last updated
09/25/2007
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