| NPI | 1063065118 |
|---|---|
| Doing Business As | REVIVE & NEW LIFE HOMECARE SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | FREDRICA L PINKSTON Owner 863-585-3831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2019-07-18 |