| Organization Name: | MCCONAGHY HOME MEDICAL, LLC |
| NPI Number: | 1871990929 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAN MCCONAGHY (OWNER) |
| Mailing Address: | 16900 Jordan Street Suite B Chatom |
| State: | AL US |
| Postal Code: | 36518 |
| Phone Number: | 2517692082 |
| Fax Number: | |
| NPI Enumeration Date: | 12/04/2014 |
| NPI Last Update Date: | 01/14/2015 |
| 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: | |