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Organization

PEACH HOME HEALTH CARE, INC.

Active
Parent organization
AEROCARE HOLDINGS LLC
Other names
Hobbs Home Medical
Organization subpart
Yes

Provider details

NPI number
Legal business name
AEROCARE HOLDINGS LLC
Authorized official
WENDY RUSSALESI (CCO)
(484) 246-9499
Entity
Organization

Contact information

Practice address
585 CARL VINSON PKWY STE 1000, WARNER ROBINS, GA 31088-3653
(478) 971-4411
(478) 971-1631
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
00928738A
GA
01
139844
PEACHSTATE HEALTH PLANS
GA
01
337178
WELLCARE HEALTH PLANS
GA
01
52022023
BC BS
GA
Enumeration date
12/13/2005
Last updated
12/04/2025
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