Revitalize CDC
Contractor · Springfield, MA
Practice location
240 Cadwell DrSpringfield, MA 01104-1743
- Phone
- (413) 788-0014
NPI record
- NPI
- 1538908751
- Entity type
- Organization (Type 2)
- Enumeration date
- May 20, 2024
- Last updated
- July 17, 2024
- Certified
- July 17, 2024
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Contractor Primary | 171W00000X |
— | — |
| Home Modifications Contractor | 171WH0202X |
— | — |
Authorized official
- Name
- Rita Longe
- Title
- Senior Manager
- Phone
- (413) 472-6850
Other names
- Revitalize CDC
- Revitalize CDC
About Revitalize CDC
Revitalize CDC is a healthcare organization registered in the NPI registry with the primary taxonomy Contractor (code 171W00000X). The practice location is 240 Cadwell Dr, Springfield, MA 01104-1743. The NPI number 1538908751 was assigned on May 20, 2024 and the record was last updated on July 17, 2024.
The authorized official for this organization is Rita Longe, Senior Manager.
Frequently asked questions
What is the NPI number of Revitalize CDC?
The NPI number is 1538908751.
What is the phone number of Revitalize CDC?
The phone number listed for the practice location is (413) 788-0014.
Where is Revitalize CDC located?
240 Cadwell Dr, Springfield, MA 01104-1743.
What is the taxonomy code for Revitalize CDC?
The primary taxonomy code is 171W00000X – Contractor; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.