Organization
LOVELL MEDICAL SUPPLY INC
Active
Parent organization
AEROCARE HOLDINGS LLC
Other names
AeroCare
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
46 BOONE TRAIL, NORTH WILKESBORO, NC 28659
(336) 903-0111
(336) 903-0555
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
01524
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0421U
BCBS OF NC
NC
01
—
34015
PARTNERS
—
05
—
7704678
—
NC
Enumeration date
05/25/2006
Last updated
10/14/2025
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