| Organization Name: | ADVANCED IN HOME RESPIRATORY 24, LLC |
| NPI Number: | 1164758660 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BERNARD JAY DOWLING (MANAGER) |
| Mailing Address: | 5003 N Illinois St Suite 1 Fairview Heights |
| State: | IL US |
| Postal Code: | 622083419 |
| Phone Number: | 6182355945 |
| Fax Number: | 6182355985 |
| NPI Enumeration Date: | 10/19/2009 |
| NPI Last Update Date: | 10/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |