Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oxygen Equipment & Supplies |
332BX2000X | B1 | Oxygen supplier | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company |
| NPI # | 1720140239 |
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| LBN Legal business name | LIFE GUARD INC | ||||||||
| Authorized official | MATT SHIVELY - (V.P.) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 12/14/2006 | ||||||||
| Last updated | 09/11/2025 - About 9 months ago | ||||||||
| Identifiers |
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LIFE GUARD INC
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