Provider Demographics
NPI:1861267478
Name:RESCUE LIFE HEALTH CARE SYSTEM LLC
Entity type:Organization
Organization Name:RESCUE LIFE HEALTH CARE SYSTEM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HUNNICUTT
Authorized Official - Middle Name:S
Authorized Official - Last Name:HUNNICUTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-235-9253
Mailing Address - Street 1:2776 WASHINGTON DR STE 100
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-1018
Mailing Address - Country:US
Mailing Address - Phone:818-235-9253
Mailing Address - Fax:800-608-9399
Practice Address - Street 1:2776 WASHINGTON DR STE 100
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-1018
Practice Address - Country:US
Practice Address - Phone:818-235-9253
Practice Address - Fax:800-608-9399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-24
Last Update Date:2023-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care