Organization
OCEAN HOME HEALTH SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY RUSSALESI (CCO)
(484) 246-9499
Entity
Organization
Contact information
Practice address
25 RIVERSIDE DR UNIT 11, PINE BROOK, NJ 07058-9391
(973) 221-8136
(762) 961-9897
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
—
NJ
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0066788
—
NJ
Enumeration date
05/31/2005
Last updated
04/30/2026
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