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Organization

HEALTHY LIVING MEDICAL SUPPLY, LLC

Active
Other names
Healthy Living Diabetic LLC
Organization subpart
No

Provider details

NPI number
Authorized official
WENDY RUSSALESI (CCO)
(484) 246-9499
Entity
Organization

Contact information

Practice address
1401 VERMONT ST STE 110, DETROIT, MI 48216-2402
(866) 779-8512
(866) 779-8511
Mailing address
555 E NORTH LN STE 5075, CONSHOHOCKEN, PA 19428-2490

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
MI

Other

Enumeration date
07/07/2006
Last updated
03/31/2026
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