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Organization

OCEAN HOME HEALTH OF PA LLC

Active
Organization subpart
No

Provider details

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

Contact information

Practice address
950 COLWELL LN STE 2, CONSHOHOCKEN, PA 19428-1132
(484) 209-0370
(215) 424-4343
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
Primary
CERT.#6000003781
PA
332B00000X
Durable Medical Equipment & Medical Supplies
332BC3200X
Customized Equipment (DME)
CERT#6000003781
PA
332BX2000X
Oxygen Equipment & Supplies (DME)
CERT#6000003781
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0012921150001
PA
05
0012921150004
PA
05
0012921150005
PA
Enumeration date
06/30/2006
Last updated
06/15/2026
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