Organization
NORTHSHORE RESPIRATORY AND REHAB SPECIALTIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY RUSSALESI (CCO)
(484) 246-9499
Entity
Organization
Contact information
Practice address
1222 FREMAUX AVE STE A, SLIDELL, LA 70458-8398
(985) 781-4050
(985) 781-2345
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
CRT.LT1901
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00440889
—
MS
05
—
1100277
—
LA
01
—
7716301
AETNA
LA
Enumeration date
07/08/2005
Last updated
10/15/2025
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