Life Guard Inc.
NPI #1750441499 in Grantsville, West Virginia
Provider Information
- NPI Number
- 1750441499
- Entity Type
- Organization
- Organization Name
- Life Guard Inc.
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Dec 11, 2006
- Last Updated
- Jun 4, 2008
Practice Location
- Address
- JOHNSON STREET AND PINE CREEK ROAD
- City
- Grantsville
- State
- West Virginia
- ZIP Code
- 26147
- Phone
- (304) 354-9103
Authorized Official
- Name
- MATT SHIVELY
- Title
- V.P.
- Phone
- (304) 665-2346
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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