Revita Life

  • 1225139439 NPI Number
  • |
  • Actived: 17 years ago
  • |
Revita Life is a health care provider based in Detroit, MI. The NPI Number is 1225139439 and it has been active since 17 years ago. The specialty is Dietary Manager, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Dietary Manager services, Revita Life is an excellent option. We are here to help you get the care you need.

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Overview of Revita Life

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 09/26/2006
  • Last updated: 08/22/2020

Primary Scrop of Practice

  • Taxonomy Code: 132700000X
  • Specialty: Dietary Manager
  • License Number: AN066667
  • License State: MI

Provider Mailing Address

  • Address: 4106 John R
    Suite 805
    Detroit, MI 48201
  • Phone: 313-745-7454
  • Fax: 313-993-8625

Provider Practice Location

  • Address: 4106 John R
    Suite 805
    Detroit, MI 48201
  • Phone: 313-745-7454
  • Fax: 313-993-8625

Authorized Official

  • Name: DR. Andre R Nunn M.D.
  • Position/Title: President
  • Telephone Number: 313-745-7454

Scope of Practice

  • Taxonomy Code: 132700000X
  • Specialty: Dietary Manager
  • License Number: AN066667
  • License State: MI
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Revita Life?
  • A: The npi number for Revita Life is 1225139439.
  • Q: What are Revita Life's specialties?
  • A: Revita Life's specialties are Dietary Manager and different specialities.
  • Q: Where is Revita Life business practice location?
  • A: Revita Life business practice location is 4106 John R, Detroit, MI 48201.
  • Q: How to contact Revita Life?
  • A: You can contact Revita Life via 313-745-7454.
  • Q: What is the authorized official for Revita Life?
  • A: The authorized office name is DR. Andre R Nunn M.D. with position/title is President and you can reach the authorized official via phone number 3137457454.