Organization
REVOLUTIONARY HOME HEATLH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN MARIE EVANINA (ADMINISTRATOR)
(570) 383-7502
Entity
Organization
Contact information
Practice address
1259 S CEDAR CREST BLVD, SUITE 255, ALLENTOWN, PA 18103-6372
(484) 244-4827
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
04090501
PA
Other
Enumeration date
03/07/2016
Last updated
07/21/2020
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