Organization
REVITALIZE CDC
Active
Other names
Revitalize CDC
Organization subpart
No
Provider details
NPI number
Authorized official
RITA LONGE (SENIOR MANAGER)
(413) 834-5318
Entity
Organization
Contact information
Practice address
240 CADWELL DR, SPRINGFIELD, MA 01104-1743
(413) 788-0014
Mailing address
240 CADWELL DR, SPRINGFIELD, MA 01104-1743
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
332U00000X
Home Delivered Meals
Primary
—
—
Other
Enumeration date
05/20/2024
Last updated
07/17/2024
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