Organization
REVITALIFE HOME HEALTHCARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IBANIA VALENCIA (ADMINISTRATOR)
(832) 460-8707
Entity
Organization
Contact information
Practice address
9898 BISSONNET ST STE 320, HOUSTON, TX 77036-8051
(832) 460-8707
(844) 269-6770
Mailing address
9898 BISSONNET ST STE 320, HOUSTON, TX 77036-8051
(832) 460-8707
(844) 269-6770
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/19/2016
Last updated
03/11/2019
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