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Organization
GRACE HEALTHCARE MEDICAL INC.
Active
Organization
GRACE HEALTHCARE MEDICAL INC.
Active
Parent organization
ADAPTHEALTH WEST, LLC
Other names
AeroCare
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADAPTHEALTH WEST, LLC
Authorized official
WENDY RUSSALESI (CCO)
(484) 246-9499
Entity
Organization
Contact information
Practice address
2609 CATALPA AVE, PASCAGOULA, MS 39567-1803
(228) 226-9431
(228) 863-3392
Mailing address
555 E NORTH LN STE 5075, CONSHOHOCKEN, PA 19428-2490
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03752061
—
MS
Enumeration date
02/04/2010
Last updated
06/10/2026
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