Revanche, Linda D

Revanche, Linda D is an sole proprietor health care provider with primary practice located at 19 Ledgebrook Rd Apt 1 , Mattapan MA 02126-2748. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Gerontology, Nursing Service Providers / Home Health. Nursing Service Providers / Home Health is her primary health care specialty. Revanche, Linda D can be contacted via phone (857) 251-4008.

Contact Information

Primary practice address
19 Ledgebrook Rd Apt 1 Mattapan MA 02126-2748
Phone: (857) 251-4008
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Gerontology 163WG0600X RN2328268 Massachusetts
Nursing Service Providers / Home Health 163WH0200X RN2328268 Massachusetts

Profile Details

NPI number 1346712817
LBN Legal business name Revanche, Linda D
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 21st, 2018
Last updated Dec 21st, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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