Provider Demographics
NPI:1053661819
Name:FREEDOM BATH PRODUCTS, LLC
Entity Type:Organization
Organization Name:FREEDOM BATH PRODUCTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:HINDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-953-6081
Mailing Address - Street 1:15 ASPEN DR
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:NH
Mailing Address - Zip Code:03835-3901
Mailing Address - Country:US
Mailing Address - Phone:603-953-6081
Mailing Address - Fax:
Practice Address - Street 1:15 ASPEN DR
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:NH
Practice Address - Zip Code:03835-3901
Practice Address - Country:US
Practice Address - Phone:603-953-6081
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-19
Last Update Date:2012-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment