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Organization

ROBERTS HOME MEDICAL LLC

Active
Organization subpart
No

Provider details

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

Contact information

Practice address
440 SOUTHLAKE BLVD STE C23, NORTH CHESTERFIELD, VA 23236-3066
(804) 348-8887
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
332BC3200X
Customized Equipment (DME)
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0206008182
VA
335E00000X
Prosthetic/Orthotic Supplier

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1275523581
VA
Enumeration date
10/27/2005
Last updated
10/14/2025
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