NPI 1043439276
Life Guard INC.
Practice location
- Address
- 204 W Main St, Kingwood, WV 26537-1419
- Phone
- (304) 329-0622
- Fax
- (304) 329-0522
Authorised official
- Name
- Jonluc Tyrone Harris
- Title
- Vice President
- Phone
- (304) 834-5370
Registered specialties
Oxygen Equipment & Supplies (DME)
Primary
Registry record
- NPI
- 1043439276
- Entity type
- Organization
- NPI issued
- 25 Apr 2007
- Record last updated
- 12 May 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.