Organization
REVERE DISABILITY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YUSUF ABOKOR (DIRECTOR)
(857) 230-8097
Entity
Organization
Contact information
Practice address
2471 QUARRY STONE DR, HILLIARD, OH 43026-7893
(857) 230-8097
Mailing address
2471 QUARRY STONE DR, HILLIARD, OH 43026-7893
(857) 230-8097
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
07/04/2024
Last updated
07/04/2024
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