Organization
FREEDOM RESPIRATORY SOLUTIONS, LLC
Active
Other names
ProvidaCare Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN N BENNETT (CEO)
(512) 733-6518
Entity
Organization
Contact information
Practice address
2721 CLEARWATER RD, UNIT 147, SAINT CLOUD, MN 56301-5952
(320) 257-7000
(320) 257-7001
Mailing address
3724 EXECUTIVE CENTER DR, SUITE 250, AUSTIN, TX 78731-1646
(512) 733-6518
(512) 795-9185
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/03/2008
Last updated
01/22/2014
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