NPI 1740981877

Revitalized LLC

Organisation Home Infusion Agency Wakefield, RI

Practice location

Address: 231 Old Tower Hill Rd STE 202, Wakefield, RI 02879-3708
Phone: (401) 773-9994

Authorised official

Name: Nathanael Farrelly
Title: President
Phone: (401) 773-9994

Registered specialties (2)

Home Infusion Agency Primary

Agencies Taxonomy 251F00000X

Other Home Infusion providers in Rhode Island →

Home Health Agency

Agencies Taxonomy 251E00000X

Other Home Health providers in Rhode Island →

Registry record

NPI: 1740981877
Entity type: Organization
NPI issued: 15 Mar 2023
Record last updated: 15 Mar 2023

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.