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Organization
REVIVAL HOMECARE OF DALLAS, INC.
Active
Organization
REVIVAL HOMECARE OF DALLAS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALYA CHORNAYA RN (NURSE SUPERVISOR)
(347) 302-3425
Entity
Organization
Contact information
Practice address
9330 LBJ FWY, SUIT 900, DALLAS, TX 75243-3436
(171) 833-8630
Mailing address
251 E 5TH ST, UNIT 1, BROOKLYN, NY 11218-2403
(718) 338-6300
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/06/2013
Last updated
05/06/2013
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