REVISIT PLAY, LLC

BLOOMINGTON, IN
NPI1740152644
Entity TypeOrganization
Authorized ContactWHITNEY SULLIVAN
Rendering Provider
812-727-4922
Organization Subpart ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2025-09-19
Last Update Date2025-09-19
Business Address
REVISIT PLAY, LLC
1140 S MORTON ST
BLOOMINGTON, IN 47403-4744
Phone number: 812-727-4922
Mailing Address
REVISIT PLAY, LLC
PO BOX 1424
BLOOMINGTON, IN 47402-1424
Phone number: 812-727-4922
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