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Revitalized LLC — NPI 1740981877, Wakefield, RI | NPI Central

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NPI 1740981877

OrganizationActive

Revitalized LLC

NPI 1740981877 · Home Infusion Agency · Wakefield, RI

Provider details

NPI number: 1740981877
Entity type: Organization
Primary specialty: Home Infusion AgencyAgencies
Organization subpart: No
Authorized official: Nathanael Farrelly, President(401) 773-9994

Specialties & taxonomies

Home Infusion AgencyPrimary251F00000X
Agencies
Home Health Agency251E00000X
Agencies

Practice location

231 Old Tower Hill Rd Ste 202

Wakefield, RI 02879-3708

Phone: (401) 773-9994

Approximate (ZIP-level) locationGet directions

More RI providers

Mailing address

231 Old Tower Hill Rd Ste 202

Wakefield, RI 02879-3708

Other names (DBA / former)

Doing business as: Revitalized Specialty Infusion Services

Registry dates

Enumerated: 2023-03-15
Last updated: 2023-03-15
Certified: 2023-03-15

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.