I get this same spiel with a different recording that has a man's voice, only the caller ID number is 585-206-6033
listed in Buffalo, NY. They mention "senior alert systems," mention AARP, and suggest that they have been referred by your medical provider. Both recordings give the choice of pressing one number to speak to a representative or 5 to "tell your provider you have refused." Other victims suggest that a scammer will not actually remove you on request, and that you should talk to a rep and waste their time instead. See https://www.consumer.ftc.gov/blog/robocall-scammers-who-lied-about-free-medical-alert-devices-weve-got-your-number.