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NPI Code Detail

MEDICARE: ABSOLUTE RESPIRATORY CARE LLC

MEDICARE: ABSOLUTE RESPIRATORY CARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1335E00000XProsthetic/Orthotic Supplier
2332B00000XDurable Medical Equipment & Medical Supplies00RI
3332BX2000XOxygen Equipment & Supplies (DME)

General Provider Information

NPI Number : 1720091762
Entity Type Code : Organization
Provider Name (Legal Business Name) : ABSOLUTE RESPIRATORY CARE LLC
Provider Business Mailing Address
First Line : 555 E NORTH LN STE 5075
Second Line :
City : CONSHOHOCKEN
State : PA
Zip : 19428-2490
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1665 HARTFORD AVE STE 5
Second Line :
City : JOHNSTON
State : RI
Zip : 02919-3268
Country : US
Telephone Number : 401-458-1902
Fax Number : 401-458-1903
Authorized Official
Title or Position : CCO
Name : WENDY RUSSALESI
Credential :
Telephone Number : 484-246-9499
Provider Enumeration Date : 08/14/2006
Last Update Date : 10/15/2025

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Directions to “ABSOLUTE RESPIRATORY CARE LLC ” Practice Location

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