MEDICARE: FREEDOM SUPPLIES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	540F302370	OTHER	MI	MI BCBS PROVIDER NUMBER

General Provider Information

NPI Number	:	1407894827
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FREEDOM SUPPLIES INC

Provider Business Mailing Address
First Line	:	1050 S MILFORD RD STE 102
Second Line	:
City	:	HIGHLAND
State	:	MI
Zip	:	48357-4878
Country	:	US
Telephone Number	:	877-246-8672
Fax Number	:	877-569-2727

Provider Business Practice Location Address
First Line	:	1050 S MILFORD RD STE 102
Second Line	:
City	:	HIGHLAND
State	:	MI
Zip	:	48357-4878
Country	:	US
Telephone Number	:	877-246-8672
Fax Number	:	877-569-2727

Authorized Official
Title or Position	:	CFO
Name	:	GREGORY RAKOWICZ
Credential	:
Telephone Number	:	847-676-4138

Provider Enumeration Date	:	06/04/2006
Last Update Date	:	08/25/2025

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Directions to “FREEDOM SUPPLIES INC ” Practice Location

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