Organization
FREEDOM MEDICAL SUPPLIES LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KYLE KENNETH ROSE (DIRECTOR OF OPERATIONS)
(509) 469-2512
Entity
Organization
Contact information
Practice address
423 W YAKIMA AVE, YAKIMA, WA 98902-3408
(509) 469-2512
(509) 469-2406
Mailing address
423 W YAKIMA AVE, YAKIMA, WA 98902-3408
(509) 469-2512
(509) 469-2406
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285979708
—
WA
Enumeration date
12/10/2012
Last updated
08/09/2013
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