Organization
REVITAL CARE HOSPICE, INC.
Active
Organization
REVITAL CARE HOSPICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD TAN CHU (CEO)
(213) 484-8254
Entity
Organization
Contact information
Practice address
711 N ALVARADO ST STE 108, LOS ANGELES, CA 90026-4016
(213) 484-8254
(213) 484-8265
Mailing address
711 N ALVARADO ST STE 108, LOS ANGELES, CA 90026-4016
(213) 484-8254
(213) 484-8265
Taxonomy
Speciality
Code
Description
License number
State
315D00000X
Inpatient Hospice
Primary
—
—
Other
Enumeration date
08/05/2006
Last updated
08/29/2007
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