| Revolutionary Care LLC | |
|
106 Irving St Nw Ste 3000 Washington DC 20010-2969 | |
| (240) 421-3602 | |
| Not Available |
| Full Name | Revolutionary Care LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 106 Irving St Nw Ste 3000, Washington, District Of Columbia |
| Authorized Official Name and Position | Titilayo Orimogunje (PRESIDENT) |
| Authorized Official Contact | 2404213602 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revolutionary Care LLC 14311 Driftwood Rd Bowie MD 20721-3042 Ph: (240) 421-3602 | Revolutionary Care LLC 106 Irving St Nw Ste 3000 Washington DC 20010-2969 Ph: (240) 421-3602 |
| NPI Number | 1033838941 |
|---|---|
| Provider Enumeration Date | 08/24/2022 |
| Last Update Date | 08/24/2022 |
| Certification Date | 08/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033838941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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