Provider Demographics
NPI:1265526883
Name:LIFEGUARD,PERSONAL EMERGENCY RESPONSE SYSTEMS, LLC
Entity type:Organization
Organization Name:LIFEGUARD,PERSONAL EMERGENCY RESPONSE SYSTEMS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BILL
Authorized Official - Middle Name:
Authorized Official - Last Name:JARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:276-744-0166
Mailing Address - Street 1:1051 LONESOME OAK ROAD
Mailing Address - Street 2:
Mailing Address - City:FRIES
Mailing Address - State:VA
Mailing Address - Zip Code:24330
Mailing Address - Country:US
Mailing Address - Phone:276-744-0166
Mailing Address - Fax:276-744-2534
Practice Address - Street 1:1051 LONESOME OAK ROAD
Practice Address - Street 2:
Practice Address - City:FRIES
Practice Address - State:VA
Practice Address - Zip Code:24330-0000
Practice Address - Country:US
Practice Address - Phone:276-744-0166
Practice Address - Fax:276-744-2534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies