Organization
LIFE SAVER IN-HOME SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUFINO CUPIDO BALANQUIT (OWNER)
(760) 214-8124
Entity
Organization
Contact information
Practice address
1604 RUSH AVE, VISTA, CA 92084-3050
(760) 536-6379
(760) 215-7711
Mailing address
1604 RUSH AVE, VISTA, CA 92084-3050
(760) 536-6379
(760) 215-7711
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
374700146
CA
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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