| Revital Health Care Services Llc | |
|
1629 K St Nw Ste 300nw Washington DC 20006-1602 | |
| (571) 365-1833 | |
| Not Available |
| Full Name | Revital Health Care Services Llc |
|---|---|
| Speciality | Psychologist - Intellectual & Developmental Disabilities |
| Location | 1629 K St Nw Ste 300nw, Washington, District Of Columbia |
| Authorized Official Name and Position | Emmanuel Nde (OFFICER) |
| Authorized Official Contact | 5713651833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revital Health Care Services Llc 1629 K St Nw Ste 300nw Washington DC 20006-1602 Ph: () - | Revital Health Care Services Llc 1629 K St Nw Ste 300nw Washington DC 20006-1602 Ph: (571) 365-1833 |
| NPI Number | 1861214645 |
|---|---|
| Provider Enumeration Date | 10/31/2024 |
| Last Update Date | 10/31/2024 |
| Certification Date | 10/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861214645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | (* (Not Available)) | Primary |
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