Organization
FREESTATE MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY M VESTAL (PRESIDENT AND DIRECTOR)
(866) 897-8588
Entity
Organization
Contact information
Practice address
7830 BACKLICK RD STE 202, SPRINGFIELD, VA 22150-2205
(703) 440-9320
(877) 785-7396
Mailing address
PO BOX 674553, DETROIT, MI 48267-4553
(703) 440-9320
(877) 785-7396
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012424900
—
MD
05
—
02917802
—
NY
05
—
1114978731
—
VA
05
—
345902100
—
MD
05
—
55790700
—
DC
Enumeration date
05/16/2006
Last updated
02/17/2026
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