Organization
FAMILY MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY RUSSALESI (CCO)
(484) 246-9499
Entity
Organization
Contact information
Practice address
515 NC HIGHWAY 111 S STE B, GOLDSBORO, NC 27534-6828
(919) 736-3275
(919) 736-3261
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
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
02298
NC
Other
Enumeration date
09/09/2015
Last updated
05/21/2026
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