# OXYLIFE RESPIRATORY SOLUTIONS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518022300
- **Authorized official:** MRS. TRACI ANN THOMPSON (OWNER,MEMBER)
- **Authorized official phone:** (602) 312-0016

## Contact information

- **Practice address:** 712 W GIBSON AVE, COOLIDGE, AZ 85228-4104
- **Practice address phone:** (602) 670-2912
- **Practice address fax:** (520) 723-0953
- **Mailing address:** 712 W GIBSON AVE, COOLIDGE, AZ 85228-4104
- **Mailing address phone:** (602) 670-2912
- **Mailing address fax:** (520) 723-0953

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 20138343 | AZ | Yes |

## Other

- **Enumeration date:** 12/22/2006
- **Last updated:** 08/22/2020