| Organization Name: | LIFE GUARD INC |
| NPI Number: | 1518027150 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MATT SHIVELY (V.P.) |
| Mailing Address: | 71 E Main St Mc Connelsville |
| State: | OH US |
| Postal Code: | 437561180 |
| Phone Number: | 7409625223 |
| Fax Number: | 7409625223 |
| NPI Enumeration Date: | 12/12/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | HMEL 11133 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |