Provider Demographics
NPI:1780644237
Name:PROJECT LIFESAVER INC
Entity Type:Organization
Organization Name:PROJECT LIFESAVER INC
Other - Org Name:PROJECT LIFESAVER INTERNATIONAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO - FOUNDER
Authorized Official - Prefix:MR
Authorized Official - First Name:GENE
Authorized Official - Middle Name:
Authorized Official - Last Name:SAUNDERS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:772-446-1273
Mailing Address - Street 1:815 BATTLEFIELD BLVD S
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23322-6610
Mailing Address - Country:US
Mailing Address - Phone:757-546-5502
Mailing Address - Fax:757-546-5503
Practice Address - Street 1:2710 SW PORT ST LUCIE BLVD
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34953-2849
Practice Address - Country:US
Practice Address - Phone:772-446-1271
Practice Address - Fax:757-546-5503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-27
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333300000XSuppliersEmergency Response System Companies
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010101905Medicaid