Organization
FREEDOM PRODUCTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEA PORTENIER (OWNER)
(785) 325-2787
Entity
Organization
Contact information
Practice address
1803 WILSON ST, WASHINGTON, KS 66968-8704
(785) 325-2787
Mailing address
1803 WILSON ST, WASHINGTON, KS 66968-8704
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528368065
TYPE 1 NPI
KS
05
—
1528368065
—
KS
Enumeration date
06/20/2011
Last updated
06/22/2011
Update your record
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