# LIFE SAVER IN-HOME SUPPORT SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699127738
- **Authorized official:** MR. RUFINO CUPIDO BALANQUIT (OWNER)
- **Authorized official phone:** (760) 214-8124

## Contact information

- **Practice address:** 1604 RUSH AVE, VISTA, CA 92084-3050
- **Practice address phone:** (760) 536-6379
- **Practice address fax:** (760) 215-7711
- **Mailing address:** 1604 RUSH AVE, VISTA, CA 92084-3050
- **Mailing address phone:** (760) 536-6379
- **Mailing address fax:** (760) 215-7711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 374700146 | CA | Yes |

## Other

- **Enumeration date:** 07/12/2016
- **Last updated:** 07/12/2016