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1821826207
REVIVAL HEALTH HOME CARE LLC
LANSING, MI
NPI
1821826207
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Entity Type
Organization
Authorized Contact
BOLIVAR ALTAMIRANO
Mr.
347-605-0410
Organization Subpart ?
No
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2024-07-25
Last Update Date
2024-07-25
Business Address
REVIVAL HEALTH HOME CARE LLC
1129 GLENN ST
LANSING, MI 48915-2115
Phone number: 347-605-0410
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Mailing Address
REVIVAL HEALTH HOME CARE LLC
2-06 ASTORIA BLVD 2E
ASTORIA, NY 11102
Phone number: 347-605-0410
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