Organization
BREATH LIFE IN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. COMONIQUE RUSSELL (OWNER)
(929) 559-3992
Entity
Organization
Contact information
Practice address
7722 S 48TH LN, LAVEEN, AZ 85339-7334
(929) 559-3992
Mailing address
7722 S 48TH LN, LAVEEN, AZ 85339-7334
(929) 559-3992
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/21/2025
Last updated
09/19/2025
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