RA
REVIVAL ADULT FAMILY HOME LLC
Custodial Care Facility
OIG CLEARNPI VERIFIED
Location
KENNEWICK, WA
Licensed since
2025
Rate
—
Federal identifiers
NPI registry number1578350104
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameTIMOTHY MUSHIRA
TitleAFH PROVIDER
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