NPI 1730766783
Revizion Services
Practice location
- Address
- 543 Cox Rd, Gastonia, NC 28054-0607
- Phone
- (704) 405-6668
- Mailing address
- 543 Cox Rd STE D7, Gastonia, NC 28054-0607
Authorised official
- Name
- Jonathan Martin
- Title
- Co Owner
- Phone
- (704) 405-6668
Registered specialties (5)
Respite Care
Primary
Community/Behavioral Health Agency
In Home Supportive Care Agency
Day Training/Habilitation Specialist
Registry record
- NPI
- 1730766783
- Entity type
- Organization
- NPI issued
- 25 Mar 2021
- Record last updated
- 5 Apr 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.