Organization
CAP REVIVAL CARE LLC
Active
Organization
CAP REVIVAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLIN PLUMMER (OWNER)
(813) 244-5520
Entity
Organization
Contact information
Practice address
10446 CARLOWAY HILLS DR, WIMAUMA, FL 33598-6204
(813) 244-5520
Mailing address
10446 CARLOWAY HILLS DR, WIMAUMA, FL 33598-6204
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
01/17/2026
Last updated
01/17/2026
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