Organization
HOME MEDICAL PRODUCTS AND SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY RUSSALESI (CCO)
(484) 246-9499
Entity
Organization
Contact information
Practice address
1590 MACAULEY AVE, RICE LAKE, WI 54868-2825
(715) 234-5000
(715) 234-6319
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
938 - 045
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41719200
—
WI
Enumeration date
03/01/2007
Last updated
10/14/2025
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