| NPI | 1720740996 |
|---|---|
| Doing Business As | REVITALIZE HOME HEALTHCARE, LLC |
| Entity Type | Organization |
| Authorized Contact | MARIE BROWN Owner 636-206-1520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2023-05-09 |