Organization
BREATH OF LIFE HOME HEATH EQUIPMENT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN KENT WHIPP RRT (PRESIDENT)
(337) 269-9644
Entity
Organization
Contact information
Practice address
101 ENERGY PARKWAY, SUITE C, LAFAYETTE, LA 70508
(337) 269-9644
(337) 269-9667
Mailing address
101 ENERGY PKWY, SUITE C, LAFAYETTE, LA 70598
(337) 269-9644
(337) 269-9667
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
L00723
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1980102
—
LA
01
—
C2615
BLUE CROSS
LA
Enumeration date
06/26/2006
Last updated
08/22/2020
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