Organization
AIRWAY HOME MEDICAL EQUIPMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BERTON LYNN BREAUX LPN (OWNER)
(337) 237-7377
Entity
Organization
Contact information
Practice address
400 W SAINT MARY BOULEVARD, LAFAYETTE, LA 70506
(337) 237-7377
(337) 593-0596
Mailing address
400 W SAINT MARY BLVD, LAFAYETTE, LA 70506
(337) 237-7377
(337) 593-0596
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
125555200-01
LA
332BX2000X
Oxygen Equipment & Supplies (DME)
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1188387
—
LA
Enumeration date
12/15/2006
Last updated
09/11/2025
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