Revitalized LLC
NPI #1740981877 in Wakefield, Rhode Island
Provider Information
- NPI Number
- 1740981877
- Entity Type
- Organization
- Organization Name
- Revitalized LLC
- Primary Specialty
- Home Infusion
- Enumeration Date
- Mar 15, 2023
- Last Updated
- Mar 15, 2023
Practice Location
- Address
- 231 OLD TOWER HILL RD STE 202
- City
- Wakefield
- State
- Rhode Island
- ZIP Code
- 02879-3708
- Phone
- (401) 773-9994
Authorized Official
- Name
- NATHANAEL FARRELLY
- Title
- PRESIDENT
- Phone
- (401) 773-9994
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
| Home Infusion |
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