MEDICARE: RESCUE-A-LIFE FOUNDATION

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	261QC1500X	Community Health Clinic/Center

General Provider Information

NPI Number	:	1912704552
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESCUE-A-LIFE FOUNDATION

Provider Business Mailing Address
First Line	:	24328 VERMONT AVE STE 316
Second Line	:
City	:	HARBOR CITY
State	:	CA
Zip	:	90710-2320
Country	:	US
Telephone Number	:	866-798-1118
Fax Number	:

Provider Business Practice Location Address
First Line	:	24328 VERMONT AVE STE 316
Second Line	:
City	:	HARBOR CITY
State	:	CA
Zip	:	90710-2320
Country	:	US
Telephone Number	:	866-798-1118
Fax Number	:

Authorized Official
Title or Position	:	COMMUNITY HEALTH WORKER
Name	:	DWAYNE MCELWEE
Credential	:
Telephone Number	:	866-798-1118

Provider Enumeration Date	:	03/01/2025
Last Update Date	:	03/01/2025

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Directions to “RESCUE-A-LIFE FOUNDATION ” Practice Location

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