# REVITALIFE HOME HEALTHCARE SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831558717
- **Authorized official:** IBANIA VALENCIA (ADMINISTRATOR)
- **Authorized official phone:** (832) 460-8707

## Contact information

- **Practice address:** 9898 BISSONNET ST STE 320, HOUSTON, TX 77036-8051
- **Practice address phone:** (832) 460-8707
- **Practice address fax:** (844) 269-6770
- **Mailing address:** 9898 BISSONNET ST STE 320, HOUSTON, TX 77036-8051
- **Mailing address phone:** (832) 460-8707
- **Mailing address fax:** (844) 269-6770

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/19/2016
- **Last updated:** 03/11/2019