MEDICARE: LIFESAVER RESOURCES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	HC3987	OTHER	NC	NC DIVISION OF HEALTH SERVICE REGULATION (DHSR)

General Provider Information

NPI Number	:	1558731174
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFESAVER RESOURCES, INC.

Provider Business Mailing Address
First Line	:	167 S WINSTEAD AVE
Second Line	:
City	:	ROCKY MOUNT
State	:	NC
Zip	:	27804-3420
Country	:	US
Telephone Number	:	252-907-5433
Fax Number	:	252-458-2388

Provider Business Practice Location Address
First Line	:	3547 ASPEN RD
Second Line	:
City	:	ROCKY MOUNT
State	:	NC
Zip	:	27804-8578
Country	:	US
Telephone Number	:	252-907-5433
Fax Number	:	252-458-2388

Authorized Official
Title or Position	:	OWNER/AGENCY DIRECTOR
Name	:	RHONDA S PITTMAN
Credential	:
Telephone Number	:	252-907-5433

Provider Enumeration Date	:	09/25/2015
Last Update Date	:	07/07/2021

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Directions to “LIFESAVER RESOURCES, INC. ” Practice Location

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