Organization
REVOLUTIONARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TITILAYO ORIMOGUNJE (PRESIDENT)
(240) 421-3602
Entity
Organization
Contact information
Practice address
106 IRVING ST NW STE 3000, WASHINGTON, DC 20010-2969
(240) 421-3602
Mailing address
14311 DRIFTWOOD RD, BOWIE, MD 20721-3042
(240) 421-3602
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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