Organization
AIRWAY OXYGEN INC
Active
Parent organization
AEROCARE HOLDINGS, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
AEROCARE HOLDINGS, INC.
Authorized official
WENDY RUSSALESI (CHIEF COMPLIANCE OFFICER/AO)
(484) 246-9499
Entity
Organization
Contact information
Practice address
1450 W M 43 HWY STE 7, HASTINGS, MI 49058-7681
(269) 945-6267
(269) 945-3728
Mailing address
3325 BARTLETT BLVD, ORLANDO, FL 32811-6428
(407) 515-2070
(407) 206-0010
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5019426
—
MI
01
—
540D10642
BLUE CROSS/BLUE SHIELD
MI
Enumeration date
10/25/2006
Last updated
10/10/2024
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