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Organization
REVIVE HOME ASSISTANCE LLC
Active
Organization
REVIVE HOME ASSISTANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VARDEN BAHOURA (MEMBER)
(248) 789-3535
Entity
Organization
Contact information
Practice address
32784 RYAN RD, WARREN, MI 48092-1112
(248) 789-3535
Mailing address
4568 FORESTVIEW DR, WEST BLOOMFIELD, MI 48322-4509
(248) 789-3535
(248) 789-3535
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
08/19/2026
Last updated
08/19/2026
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