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1225139439
REVITA LIFE
DETROIT, MI
NPI
1225139439
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Entity Type
Organization
Authorized Contact
ANDRE R NUNN
President
313-745-7454
Organization Subpart ?
No
Primary Taxonomy
132700000X Dietary Manager
(Licence: MI AN066667)
Enumeration Date
2006-09-26
Last Update Date
2020-08-22
Business Address
REVITA LIFE
4106 JOHN R SUITE 805
DETROIT, MI 48201
Phone number: 313-745-7454
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Mailing Address
REVITA LIFE
4106 JOHN R SUITE 805
DETROIT, MI 48201
Phone number: 313-745-7454
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