| NPI | 1598450074 |
|---|---|
| Doing Business As | REVIVAL HOMECARE AGENCY |
| Entity Type | Organization |
| Authorized Contact | MARGARET SHERRY PEMBERTON Vice President 502-272-3466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2023-09-13 |