Healthcare Provider Details

I. General information

NPI: 1184533291
Provider Name (Legal Business Name): REV HEALTHCARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1755 N BROWN RD # 221
LAWRENCEVILLE GA
30043-8198
US

IV. Provider business mailing address

5693 ADDISON WOODS PL
SUGAR HILL GA
30518-6174
US

V. Phone/Fax

Practice location:
  • Phone: 470-589-9191
  • Fax:
Mailing address:
  • Phone: 470-589-9191
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: EBI ZUOFA
Title or Position: MD
Credential:
Phone: 470-589-9191