| NPI | 1740981877 |
|---|---|
| Doing Business As | REVITALIZED SPECIALTY INFUSION SERVICES |
| Entity Type | Organization |
| Authorized Contact | NATHANAEL FARRELLY President 401-773-9994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251F00000X Home Infusion |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2023-03-15 |
| Last Update Date | 2023-03-15 |