Organization
REVIVAL HOME HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB SPITZER (PRESIDENT)
(718) 629-1000
Entity
Organization
Contact information
Practice address
5350 KINGS HWY, BROOKLYN, NY 11203-6703
(718) 629-1000
(718) 629-5151
Mailing address
5350 KINGS HWY, BROOKLYN, NY 11203-6703
(718) 629-1000
(718) 629-5151
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7001629
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01544449
—
NY
Enumeration date
09/15/2005
Last updated
08/22/2020
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