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Organization
PROVIDER PLUS LLC
Active
Organization
PROVIDER PLUS LLC
Active
Other names
AdaptHealth
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY RUSSALESI (CCO)
(484) 246-9499
Entity
Organization
Contact information
Practice address
7748 WATSON RD, SAINT LOUIS, MO 63119-5407
(314) 970-3304
(314) 963-6801
Mailing address
555 E NORTH LN STE 5075, CONSHOHOCKEN, PA 19428-2490
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
MO
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
MO
Other
Enumeration date
08/03/2005
Last updated
09/30/2026
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