REVIVAL HOME CARE
Nursing at State Ave, Glendale, AZ

License number
Arizona AL8758H
Category
Nursing
Type
Assisted Living, Behavioral Disturbances
Owner
Name: MRS. FIDELITE KANKINDI MBR
Title: CAREGIVER
Phone: (623) 297-1305
Address
Address
8269 W State Ave, Glendale, AZ 85303
National Provider ID: 1336498906
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about REVIVAL HOME CARE at bizstanding.com

REVIVAL HOME CARE,LLC

8269 W State Ave, Glendale, AZ 85303

Registration:
May 25, 2012
State ID:
L-1764219-2
Expiration:
PERPETUAL
Members:
Lauren Blaise Uwizexe (Member), 16532 W Harrison, Glendale, AZ 85308 (Physical),Theresa Ntihabose (Member), 23854 W Chambers St, Buckeye, AZ 85326 (Physical)
Agent:
Dannett Gardiner,7121 W Bell Rd #210, Glendale, AZ 85308 (Physical)
7121 W Bell Rd #130, Glendale, AZ 85308 (Physical)

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