Organization
REVERE HOMECARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA BUSTAMANTE (DIRECTOR)
(857) 928-0784
Entity
Organization
Contact information
Practice address
182 HICHBORN ST, REVERE, MA 02151-5138
(857) 928-0784
Mailing address
182 HICHBORN ST, REVERE, MA 02151-5138
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253J00000X
Foster Care Agency
—
—
Other
Enumeration date
04/03/2015
Last updated
04/03/2015
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