Organization
REVOLUTIONARY HOME HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN MARIE EVANINA CRNP (ADMINISTRATOR)
(570) 233-0602
Entity
Organization
Contact information
Practice address
110 PENNSYLVANIA AVE STE 200, ORELAND, PA 19075-1229
(215) 600-3360
(215) 600-3359
Mailing address
829 SCRANTON CARBONDALE HWY, EYNON, PA 18403-1020
(570) 383-7502
(877) 848-4889
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
05670501
PA
Other
Enumeration date
02/18/2016
Last updated
03/07/2023
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