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Organization
REVIVE HOME HEALTHCARE LLC
Active
Organization
REVIVE HOME HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYANKKUMAR BALADEVBHAI PATEL (CFO)
(845) 903-2312
Entity
Organization
Contact information
Practice address
9015 TOWN CENTER PKWY UNIT 135, LAKEWOOD RANCH, FL 34202-5308
(941) 263-8058
(941) 263-8074
Mailing address
9015 TOWN CENTER PKWY UNIT 135, LAKEWOOD RANCH, FL 34202-5308
(941) 263-8058
(941) 263-8074
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
11/13/2024
Last updated
06/04/2025
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