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Organization

REVITALIZE HEALTH AND BEAUTY

Active
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Organization

REVITALIZE HEALTH AND BEAUTY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GLORIA YGAY (OWNER)
(248) 530-4772
Entity
Organization

Contact information

Practice address
1920 LIVERNOIS RD, SUITE D, TROY, MI 48083-1732
(248) 530-4772
Mailing address
1920 LIVERNOIS RD, SUITE D, TROY, MI 48083-1732
(248) 530-4772

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
261QR0400X
Rehabilitation Clinic/Center
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Enumeration date
01/15/2014
Last updated
01/15/2014
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