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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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