Revitalize Cdc

NPI #1538908751 in Springfield, Massachusetts

Provider Information

NPI Number: 1538908751
Entity Type: Organization
Organization Name: Revitalize Cdc
Primary Specialty: Contractor
Enumeration Date: May 20, 2024
Last Updated: Jul 17, 2024

Practice Location

Address: 240 CADWELL DR
City: Springfield
State: Massachusetts
ZIP Code: 01104-1743
Phone: (413) 788-0014

Authorized Official

Name: RITA LONGE
Title: SENIOR MANAGER
Phone: (413) 472-6850

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor - Home Modifications — Home Modifications	171WH0202X
Contractor	171W00000X	Primary

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