Organization
FIRST CHOICE HOME MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THAD F CONNALLY III (PRESIDENT)
(270) 393-9393
Entity
Organization
Contact information
Practice address
830 FAIRVIEW AVE STE B5, BOWLING GREEN, KY 42101-4912
(270) 393-9393
(270) 393-9383
Mailing address
PO BOX 51485, BOWLING GREEN, KY 42102-5785
(270) 393-9393
(270) 393-9383
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
108684-000
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90006008
—
KY
Enumeration date
08/09/2005
Last updated
12/22/2020
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