Organization
REVOLUTION KIMWELL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH DEUTSCH (PRINCIPAL)
(508) 679-0106
Entity
Organization
Contact information
Practice address
495 NEW BOSTON RD, FALL RIVER, MA 02720-5835
(508) 679-0106
Mailing address
495 NEW BOSTON RD, FALL RIVER, MA 02720-5835
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/06/2019
Last updated
05/06/2019
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