Healthcare Provider Details

I. General information

NPI: 1801196357
Provider Name (Legal Business Name): NEW BREATH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2010
Last Update Date: 11/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1045 REED DR UNIT C
MONROE OH
45050-1717
US

IV. Provider business mailing address

1045 REED DR UNIT C
MONROE OH
45050-1717
US

V. Phone/Fax

Practice location:
  • Phone: 513-539-9788
  • Fax: 513-539-9789
Mailing address:
  • Phone: 513-539-9788
  • Fax: 513-539-9789

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MS. WANDA RICE
Title or Position: MANAGER
Credential:
Phone: 513-539-9788