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Organization
REVITALIZE HOME HEALTH AGENCY LLC
Active
Organization
REVITALIZE HOME HEALTH AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHAMMED AMER (PRESIDENT)
(951) 956-5101
Entity
Organization
Contact information
Practice address
1245 W 6TH ST STE 205, CORONA, CA 92882-1870
(951) 956-5101
Mailing address
1245 W 6TH ST STE 205, CORONA, CA 92882-1870
(951) 956-5101
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/14/2025
Last updated
04/09/2025
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