# AIRVIDA LLC

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

## Provider details

- **NPI number:** 1679760342
- **Authorized official:** JEAN L LIGHT (ADMINISTRATOR/CONTROLLER)
- **Authorized official phone:** (520) 325-9989

## Contact information

- **Practice address:** 2921 E FORT LOWELL RD, SUITE 115, TUCSON, AZ 85716-1551
- **Practice address phone:** (520) 405-0141
- **Practice address fax:** (520) 514-0515
- **Mailing address:** 2921 E FORT LOWELL RD, SUITE 115, TUCSON, AZ 85716-1551
- **Mailing address phone:** (520) 405-0141
- **Mailing address fax:** (520) 514-0515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 1951 | AZ | Yes |

## Other

- **Enumeration date:** 09/26/2007
- **Last updated:** 02/16/2015