Organization
REVIVAL HOME HEALTH CARE AGENCY INC
Active
Other names
Revival Home Health Care Agency Inc, Revival Homecare Agency
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AKRAM ELZEND PT, DPT, MBA&M (PRESIDENT &CEO)
(888) 225-6905
Entity
Organization
Contact information
Practice address
5101C BACKLICK RD, STE 2, ANNANDALE, VA 22003-6061
(888) 225-6905
(888) 801-4714
Mailing address
5101C BACKLICK RD, STE 2, ANNANDALE, VA 22003-6061
(888) 225-6905
(888) 801-4714
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO08450
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659577724
—
VA
Enumeration date
06/25/2007
Last updated
12/29/2020
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