| Organization Name: | OXYLIFE RESPIRATORY SOLUTIONS, LLC |
| NPI Number: | 1518022300 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TRACI ANN THOMPSON (OWNER,MEMBER) |
| Mailing Address: | 712 W Gibson Ave Coolidge |
| State: | AZ US |
| Postal Code: | 852284104 |
| Phone Number: | 6026702912 |
| Fax Number: | 5207230953 |
| NPI Enumeration Date: | 12/22/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | 20138343 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |