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1972007128
REVITALIZE HEALTHCARE, INC
PADUCAH, KY
NPI
1972007128
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Entity Type
Organization
Authorized Contact
HENRY D BABENCO
CEO
270-556-1630
Organization Subpart ?
No
Primary Taxonomy
2084A0401X Psychiatry & Neurology, Addiction Medicine
Enumeration Date
2018-03-22
Last Update Date
2018-03-22
Business Address
REVITALIZE HEALTHCARE, INC
657 LONE OAK RD STE 2
PADUCAH, KY 42003-4547
Phone number: 270-556-1630
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Mailing Address
REVITALIZE HEALTHCARE, INC
657 LONE OAK RD STE 2
PADUCAH, KY 42003-4547
Phone number: 270-556-1630
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