Organization Name: | BREATH OF LIFE O2 LLC. |
NPI Number: | 1609013747 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN PHILLIP NAUYOKAS (PRESIDENT/ CEO) |
Mailing Address: | 17005 Westfield Park Rd Suite 1 Westfield |
State: | IN US |
Postal Code: | 460748428 |
Phone Number: | 3178963048 |
Fax Number: | 8666115501 |
NPI Enumeration Date: | 01/12/2009 |
NPI Last Update Date: | 06/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | ========= |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |