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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
4257 SEMINOLE TRL UNIT 1, CHARLOTTESVILLE, VA 22911
(434) 973-7847
(434) 973-8436
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
0206008348
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1447240734
VA
Enumeration date
10/27/2005
Last updated
10/14/2025
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