REVIVE INTEGRATED CARE SERVICES LLC

PHOENIX, AZ
NPI1164132908
Entity TypeOrganization
Authorized ContactTAMALA LASHAWN DANIELS
CEO
602-688-6327
Organization Subpart ?No
Primary Taxonomy251S00000X 
Enumeration Date2022-12-02
Last Update Date2024-04-29
Business Address
REVIVE INTEGRATED CARE SERVICES LLC
1616 E INDIAN SCHOOL RD STE 400
PHOENIX, AZ 85016-8604
Phone number: 602-688-6327
Mailing Address
REVIVE INTEGRATED CARE SERVICES LLC
1616 E INDIAN SCHOOL RD STE 400
PHOENIX, AZ 85016-8604
Phone number: 602-688-6327
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