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Contact Information

LIFE GUARD INC.
101 LOCUST AVE.
SPENCER, WV25276
 Phone: 304-927-6090
 Fax: 304-927-6090
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
Indicates primary specialty

NPI Profile & details for LIFE GUARD INC.

NPI # 1912068180
LBN Legal business name LIFE GUARD INC.
Authorized official JONLUC HARRIS - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/12/2006
Last updated 05/12/2025 - More than a year ago
Identifiers
License # NONE REQUIRED
WV Medicaid 6202086000
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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