# BREATH OF LIFECARE LLC

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

## Provider details

- **NPI number:** 1750167730
- **Authorized official:** NOUGYE J MUTUNGI MUKOMA RN, MSN, FNP-BC (CEO)
- **Authorized official phone:** (978) 972-0144

## Contact information

- **Practice address:** 578 MAIN ST STE 7B, MALDEN, MA 02148-4094
- **Practice address phone:** (978) 972-0144
- **Mailing address:** 578 MAIN ST STE 7B, MALDEN, MA 02148-4094
- **Mailing address phone:** (978) 972-0144

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/05/2023
- **Last updated:** 12/10/2024