Organization
AMERICAN FREEDOM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH LINCOLN PERKINS (OWNER)
(304) 278-5744
Entity
Organization
Contact information
Practice address
5 MANCHIN STREET, BAXTER, WV 26560-0057
(304) 278-5744
(304) 278-5744
Mailing address
P.O. BOX 57, BAXTER, WV 26560-0057
(304) 278-5744
(304) 278-5744
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2244-5543
WV
Other
Enumeration date
11/07/2012
Last updated
11/07/2012
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