REVITA LIFE

Dietary Manager

Active Organization
NPI: 1225139439

Practice Address

4106 JOHN R
SUITE 805
Detroit, MI 48201

Phone: (313) 745-7454

Specialties

Specialty Code Primary License
Dietary Manager 132700000X Yes AN066667 (MI)

Frequently Asked Questions

NPI 1225139439 is the National Provider Identifier for REVITA LIFE, a Dietary Manager provider located in Detroit, MI. This NPI was enumerated on September 26, 2006.

Quick Facts

NPI
1225139439
Type
Organization
Enumerated
Sep 26, 2006
Last Updated
Aug 22, 2020

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