# A BREATH FOR LIFE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Serenity A Breath for Life
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407414063
- **Authorized official:** ANNETTE RYDER (OWNER)
- **Authorized official phone:** (602) 615-4636

## Contact information

- **Practice address:** 5626 N 51ST AVE, GLENDALE, AZ 85301-6034
- **Practice address phone:** (623) 930-0887
- **Mailing address:** PO BOX 217, WADDELL, AZ 85355-0217
- **Mailing address phone:** (602) 615-4636

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/30/2019
- **Last updated:** 01/13/2020