Organization · NPI-2

A Breath For Life LLC

Preventive Medicine, Undersea and Hyperbaric Medicine · Glendale, AZ

NPI number1407414063
StatusActive
Last updated in NPPESJan 13, 2020

Details

NPI
1407414063
Entity type
Organization (NPI-2)
Legal business name
A Breath For Life LLC
Organization subpart
No
Enumeration date
May 30, 2019
Certification date
Jan 13, 2020
Last updated
Jan 13, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine––Yes

Other names

  • Serenity A Breath For Life (Doing Business As)

Practice location

5626 N 51st Ave
Glendale, AZ 85301-6034

Phone 623-930-0887

Mailing address

Po Box 217
Waddell, AZ 85355-0217

Phone 602-615-4636

Authorized official

Annette Ryder
Owner
6026154636

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