Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oxygen Equipment & Supplies |
332BX2000X | B1 | Oxygen supplier | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company |
| NPI Number | 1356687404 |
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| LBN Legal business name | GRACE MEDICAL EQUIPMENT, INC. | ||||||||
| Authorized official | WENDY RUSSALESI - (CCO) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | Yes | ||||||||
| Enumeration date | 12/18/2012 | ||||||||
| Last updated | 10/14/2025 - About 8 months ago | ||||||||
| Identifiers |
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