Organization
BREATH OF LIFE O2 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN PHILLIP NAUYOKAS CRT CPT (PRESIDENT/CEO)
(317) 896-3048
Entity
Organization
Contact information
Practice address
17005 WESTFIELD PARK RD, SUITE 1, WESTFIELD, IN 46074-8428
(317) 896-3048
(866) 611-5501
Mailing address
430 ALPHA DR, SUITE 100, WESTFIELD, IN 46074-7000
(317) 896-3048
(866) 611-5501
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
04/15/2014
Last updated
03/25/2016
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