Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oxygen Equipment & Supplies |
332BX2000X | B1 | Oxygen supplier |
| NPI Number | 1730249376 |
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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 | 12/12/2006 | ||||||||
| Last updated | 07/14/2009 - About 17 years ago | ||||||||
| Identifiers |
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