Revitalize Cdc

LBN: Revitalize Cdc
Revitalize Cdc is an health care organization with primary practice located at 240 Cadwell Dr , Springfield MA 01104-1743. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Contractor, Other Service Providers / Home Modifications. Other Service Providers / Contractor is the primary health care specialty. Revitalize Cdc can be contacted via phone (413) 788-0014, or through Longe, Rita via phone (413) 472-6850.

Contact Information

Primary practice address
240 Cadwell Dr Springfield MA 01104-1743
Phone: (413) 788-0014
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Longe, Rita
Phone: (413) 472-6850

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X
Other Service Providers / Home Modifications 171WH0202X

Profile Details

NPI number 1538908751
LBN Legal business name Revitalize Cdc
DBA Doing business as Revitalize Cdc
Authorized official Longe, Rita
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2024
Last updated Jul 17th, 2024 - about 4 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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