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Organization
REVELLA HEALTH INC
Active
Organization
REVELLA HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL YEBOAH (CEO)
(205) 929-7451
Entity
Organization
Contact information
Practice address
1 PERIMETER PARK S STE 100N, BIRMINGHAM, AL 35243-3248
(205) 929-7451
Mailing address
1 PERIMETER PARK S STE 100N, BIRMINGHAM, AL 35243-3248
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
305S00000X
Point of Service
—
—
333600000X
Pharmacy
—
—
Other
Enumeration date
09/25/2024
Last updated
10/14/2024
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