| Organization Name: | MCCONAGHY HOME MEDICAL, LLC |
| NPI Number: | 1073917266 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAN MCCONAGHY (OWNER) |
| Mailing Address: | 179a S Jackson St Grove Hill |
| State: | AL US |
| Postal Code: | 364513009 |
| Phone Number: | 2512753964 |
| Fax Number: | 2512754310 |
| NPI Enumeration Date: | 10/16/2014 |
| NPI Last Update Date: | 02/02/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AL |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |