NPI | 1659577724 |
---|---|
Doing Business As | REVIVAL HOMECARE AGENCY |
Entity Type | Organization |
Authorized Contact | AKRAM ELZEND President &CEO 888-225-6905 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health (Licence: VA HCO08450) |
Enumeration Date | 2007-06-25 |
Last Update Date | 2020-12-29 |