| NPI | 1841001971 |
|---|---|
| Doing Business As | REVITA WELLNESS PLLC |
| Entity Type | Organization |
| Authorized Contact | SHEEBA MATHAI Np 972-313-5017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2025-01-17 |
| Last Update Date | 2025-02-03 |