Organization Name: | AIRWAY HOME MEDICAL EQUIPMENT INC |
NPI Number: | 1740342641 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BERTON LYNN BREAUX (OWNER) |
Mailing Address: | 400 W Saint Mary Boulevard Lafayette |
State: | LA US |
Postal Code: | 70506 |
Phone Number: | 3372377377 |
Fax Number: | 3375930596 |
NPI Enumeration Date: | 12/15/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 125555200-01 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | LA |
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 |