| NPI | 1487158440 |
|---|---|
| Other Name | REVIVE HOME HEALTH CARE LLC |
| Entity Type | Organization |
| Authorized Contact | LATONYA D FLEMON Owner 314-449-1060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2025-02-27 |