Organization
REVISION HOME CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKELLE MARSHALL (PRESIDENT)
(215) 485-7133
Entity
Organization
Contact information
Practice address
3050 WILLITS RD, PHILADELPHIA, PA 19136-1115
(215) 485-7133
Mailing address
3050 WILLITS RD, PHILADELPHIA, PA 19136-1115
(215) 485-7133
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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