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Organization
REVITA HEALTHCARE, LLC
Active
Organization
REVITA HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CONSUELO LAGASCA DUMAYAS (ADMINISTRATOR)
(847) 380-6253
Entity
Organization
Contact information
Practice address
120 W GOLF RD STE 210, SCHAUMBURG, IL 60195-5161
(847) 380-6253
(847) 947-2786
Mailing address
120 W GOLF RD STE 210, SCHAUMBURG, IL 60195-5161
(847) 380-6253
(847) 947-2786
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1011579
IL
Other
Enumeration date
09/29/2012
Last updated
09/29/2012
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