Organization
HOME MEDISERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY RUSSALESI (CCO)
(484) 246-9499
Entity
Organization
Contact information
Practice address
4690 MILLENNIUM DR STE 323, BELCAMP, MD 21017-1523
(410) 939-1212
(410) 939-5952
Mailing address
220 W GERMANTOWN PIKE STE 250, PLYMOUTH MEETING, PA 19462-1437
(610) 424-4515
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
MD
332BC3200X
Customized Equipment (DME)
—
MD
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
MD
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029058100
—
MD
Enumeration date
09/28/2006
Last updated
11/04/2024
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