Organization
REVIVAL HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDA PRASEUTH (OFFICE MANAGER)
(402) 518-0622
Entity
Organization
Contact information
Practice address
7722 N 29TH ST, OMAHA, NE 68112-2720
(402) 518-0622
Mailing address
7722 N 29TH ST, OMAHA, NE 68112-2720
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/12/2025
Last updated
07/12/2025
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