# BREATH OF LIFE, INC.

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

## Provider details

- **NPI number:** 1790753689
- **Authorized official:** MR. BOYCE HARBOUR (PRESIDENT)
- **Authorized official phone:** (817) 907-8212

## Contact information

- **Practice address:** 2612 GRAVEL DR, BLDG 7, FORT WORTH, TX 76118
- **Practice address phone:** (866) 777-3380
- **Practice address fax:** (888) 882-4004
- **Mailing address:** PO BOX 93359, SOUTHLAKE, TX 76092-0113
- **Mailing address phone:** (817) 686-1111
- **Mailing address fax:** (817) 686-1116

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 0066027 | TX | Yes |

## Other

- **Enumeration date:** 03/08/2006
- **Last updated:** 05/22/2018