Organization
BREATH OF LIFE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARVA DALE BICKNELL (CEO)
(615) 727-6041
Entity
Organization
Contact information
Practice address
1160 GALLATIN PIKE S, SUITEE 5109, DUE WEST PROFESSIONAL BUILDING, MADISON, TN 37115-4624
(615) 727-6041
(615) 727-6001
Mailing address
1160 GALLATIN PIKE S, SUITEE 5109, DUE WEST PROFESSIONAL BUILDING, MADISON, TN 37115-4624
(615) 727-6041
(615) 737-6001
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/05/2010
Last updated
01/05/2010
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