Organization
REVEILLE RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE DESTEFANO (PROGRAM MANAGER)
(603) 206-5725
Entity
Organization
Contact information
Practice address
1755 TELSTAR DR STE 300, COLORADO SPRINGS, CO 80920-1019
(302) 314-9001
Mailing address
1755 TELSTAR DR STE 300, COLORADO SPRINGS, CO 80920-1019
(302) 314-9001
(302) 267-4554
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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