Organization
MEDCO RESPIRATORY INSTRUMENTS, INC.
Active
Other names
Aveanna Healthcare Medical Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW BUCKHALTER (CFO)
(470) 464-8000
Entity
Organization
Contact information
Practice address
9331 HWY 6 N, SUITE 170, HOUSTON, TX 77095
(866) 883-1188
(833) 896-7003
Mailing address
400 INTERSTATE NORTH PKWY SE STE 1600, ATLANTA, GA 30339-5047
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015527701
—
TX
01
—
015527702
CHSCN
TX
05
—
121704401
—
TX
Enumeration date
02/15/2006
Last updated
01/27/2025
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