Provider Demographics
NPI:1134401094
Name:LIFE SAVER HOME CARE & WHEELCHAIR TRANSPORT INC
Entity type:Organization
Organization Name:LIFE SAVER HOME CARE & WHEELCHAIR TRANSPORT INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ZALDY
Authorized Official - Middle Name:LIPATA
Authorized Official - Last Name:BALANQUIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-744-0020
Mailing Address - Street 1:PO BOX 515
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92079-0515
Mailing Address - Country:US
Mailing Address - Phone:760-744-0020
Mailing Address - Fax:760-597-9124
Practice Address - Street 1:1298 DISTRIBUTION WAY
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92081-8816
Practice Address - Country:US
Practice Address - Phone:760-744-0020
Practice Address - Fax:760-597-9124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-15
Last Update Date:2013-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)