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Organization
ELLIS HOME OXYGEN & MEDICAL
Active
Organization
ELLIS HOME OXYGEN & MEDICAL
Active
Parent organization
AEROCARE HOLDINGS LLC
Other names
Ellis Home Oxygen & Medical
Organization subpart
Yes
Provider details
NPI number
Legal business name
AEROCARE HOLDINGS LLC
Authorized official
STEPHEN GRIGGS (PRESIDENT)
(407) 206-0040
Entity
Organization
Contact information
Practice address
925 N MAIN ST, MARION, VA 24354-4117
(276) 783-6868
(276) 783-3357
Mailing address
220 W GERMANTOWN PIKE STE 250, PLYMOUTH MEETING, PA 19462-1437
(610) 630-6357
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0206008222
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009135618
—
VA
Enumeration date
03/07/2007
Last updated
08/02/2021
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