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Organization

RESPIRATORY HOME CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRIAN L PUGH RRT (OWNER)
(931) 528-5894
Entity
Organization

Contact information

Practice address
1150 PERIMETER PARK DR, SUITE A, COOKEVILLE, TN 38501-0927
(931) 528-5894
(931) 372-2118
Mailing address
1150 PERIMETER PARK DR, SUITE A, COOKEVILLE, TN 38501-0927
(931) 528-5894
(931) 372-2118

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3547537
TN
Enumeration date
02/01/2007
Last updated
08/22/2020
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