Organization
FREEDOM 2 GO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD A LAMB (MANAGING MEMBER)
(325) 437-2382
Entity
Organization
Contact information
Practice address
401 TEMPLE HALL HWY STE 5, GRANBURY, TX 76049-8104
(817) 573-6842
(817) 573-6858
Mailing address
PO BOX 2802, ABILENE, TX 79604-2802
(325) 437-2382
(325) 437-2388
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
176767501
CCP
TX
05
—
176767502
—
TX
Enumeration date
12/19/2005
Last updated
09/02/2008
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