Organization
BREATH OF LIFE WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE MCCAULEY DC (OWNER)
(417) 883-1141
Entity
Organization
Contact information
Practice address
2021 S WAVERLY AVE, SUITE 500, SPRINGFIELD, MO 65804-2414
(417) 883-1141
(417) 889-6627
Mailing address
2021 S. WAVERLY, SUITE 500, SPRINGFIELD, MO 65804
(417) 883-1141
(417) 889-6627
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
2005007366
MO
Other
Enumeration date
01/24/2008
Last updated
01/24/2008
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