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Organization

REVITALIZE CDC

Active
Other names
Revitalize CDC
Organization subpart
No

Provider details

NPI number
Authorized official
RITA LONGE (SENIOR MANAGER)
(413) 472-6850
Entity
Organization

Contact information

Practice address
240 CADWELL DR, SPRINGFIELD, MA 01104-1743
(413) 788-0014
Mailing address
240 CADWELL DR, SPRINGFIELD, MA 01104-1743

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
171WH0202X
Home Modifications Contractor

Other

Enumeration date
05/20/2024
Last updated
07/17/2024
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