Organization
REVIVE & NEW LIFE HOMECARE SERVICES LLC
Active
Other names
REVIVE & NEW LIFE HOMECARE SERVICES LLC
Organization subpart
No
Provider details
NPI number
Authorized official
FREDRICA L PINKSTON (OWNER)
(863) 585-3831
Entity
Organization
Contact information
Practice address
2815 DUNHILL CIR, LAKELAND, FL 33810-2075
(863) 585-3831
Mailing address
2815 DUNHILL CIR, LAKELAND, FL 33810-2075
(863) 585-3831
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
731742
—
FL
Enumeration date
07/18/2019
Last updated
07/18/2019
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