| Organization Name: | PENNYRILE HOME MEDICAL INC. |
| NPI Number: | 1386976967 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID BYRON CHESNUT (PRESIDENT) |
| Mailing Address: | 300 W 10th St Suite D Metropolis |
| State: | IL US |
| Postal Code: | 629601506 |
| Phone Number: | 6185242825 |
| Fax Number: | 6185241659 |
| NPI Enumeration Date: | 02/05/2010 |
| NPI Last Update Date: | 10/26/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | 203001163 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |