Revolution Kimwell LLC
NPI #1205491271 in Fall River, Massachusetts
Provider Information
- NPI Number
- 1205491271
- Entity Type
- Organization
- Organization Name
- Revolution Kimwell LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- May 6, 2019
- Last Updated
- May 6, 2019
Practice Location
- Address
- 495 NEW BOSTON RD
- City
- Fall River
- State
- Massachusetts
- ZIP Code
- 02720-5835
- Phone
- (508) 679-0106
Authorized Official
- Name
- JOSEPH DEUTSCH
- Title
- PRINCIPAL
- Phone
- (508) 679-0106
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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