# ADAPTHEALTH - MISSOURI LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114529401
- **Authorized official:** WENDY RUSSALESI (CCO)
- **Authorized official phone:** (484) 246-9499

## Contact information

- **Practice address:** 670 BRANSON LANDING BLVD STE 7, BRANSON, MO 65616-2063
- **Practice address phone:** (844) 740-4093
- **Practice address fax:** (833) 203-2313
- **Mailing address:** 555 E NORTH LN STE 5075, CONSHOHOCKEN, PA 19428-2490

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | Yes |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | — |

## Other

- **Enumeration date:** 11/11/2020
- **Last updated:** 10/15/2025