Organization
FREEDOMTOWN SCOOTER CO. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELAINE WIYGUL (OWNER)
(405) 759-3586
Entity
Organization
Contact information
Practice address
225 S BROADWAY ST, MOORE, OK 73160-5213
(405) 759-3586
(405) 759-3582
Mailing address
225 S BROADWAY ST, MOORE, OK 73160-5213
(405) 759-3586
(405) 759-3582
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
247469
OK
Other
Enumeration date
05/25/2006
Last updated
08/22/2020
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