Organization
REVOLUTIONARY HOME HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN EVANINA CRNP (ADMINISTRATOR)
(570) 383-7502
Entity
Organization
Contact information
Practice address
829 SCRANTON CARBONDALE HWY, EYNON, PA 18403-1020
(570) 383-7502
Mailing address
829 SCRANTON CARBONDALE HWY, EYNON, PA 18403-1020
(570) 383-7502
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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