Provider Demographics
NPI:1558731174
Name:LIFESAVER RESOURCES, INC.
Entity Type:Organization
Organization Name:LIFESAVER RESOURCES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AGENCY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:S
Authorized Official - Last Name:PITTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-907-5433
Mailing Address - Street 1:167 S WINSTEAD AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-3420
Mailing Address - Country:US
Mailing Address - Phone:252-907-5433
Mailing Address - Fax:252-458-2388
Practice Address - Street 1:3547 ASPEN RD
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-8578
Practice Address - Country:US
Practice Address - Phone:252-907-5433
Practice Address - Fax:252-458-2388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-25
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCHC3987OtherNC DIVISION OF HEALTH SERVICE REGULATION (DHSR)