Organization
REVATI HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH RENE HERRERA RN (CEO)
(313) 264-7589
Entity
Organization
Contact information
Practice address
4813 LAUDERDALE AVE, VIRGINIA BEACH, VA 23455-1364
(313) 264-7589
Mailing address
4813 LAUDERDALE AVE, VIRGINIA BEACH, VA 23455-1364
(313) 264-7589
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
—
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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