Organization
REVIVAL HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EGBE BENEDICTA ADEKUNLE-MOSES (CEO)
(857) 260-7441
Entity
Organization
Contact information
Practice address
229 HEBRON ST, HYDE PARK, MA 02136-6201
(857) 260-7441
Mailing address
229 HEBRON ST, HYDE PARK, MA 02136-6201
(857) 260-7441
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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