Sanguine Revere LLC

NPI #1295568178 in Riverdale, Georgia

Provider Information

NPI Number: 1295568178
Entity Type: Organization
Organization Name: Sanguine Revere LLC
Primary Specialty: Home Health
Enumeration Date: Aug 26, 2024
Last Updated: Aug 26, 2024

Practice Location

Address: 7460 AMBASSADOR DR
City: Riverdale
State: Georgia
ZIP Code: 30296-1928
Phone: (404) 610-7689

Authorized Official

Name: KHALLIS JOYNER
Title: OWNER
Phone: (404) 610-7689

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
In Home Supportive Care	253Z00000X
Assisted Living Facility	310400000X
Custodial Care Facility - Adult Care Home — Adult Care Home	311ZA0620X
Non-emergency Medical Transport (VAN)	343900000X
Home Health	251E00000X	Primary

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