OrganizationRevitacare Health CentersCounselorBehavioral Health & Social Service ProvidersPractice Address1951 Stella Lake St Ste 26, Las Vegas, NV 89106-2144(702) 366-4674PECOS EnrollmentBased on the most recent information from CMS, provider Revitacare Health Centers does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1548080005Provider TypeOrganizationFull NameRevitacare Health CentersSubpartNoEnumeration Date10/10/2024Last Updated10/10/2024Contact InformationPractice LocationPractice Address1951 Stella Lake St Ste 26, Las Vegas, NV 89106-2144Phone(702) 366-4674FaxUnlisted FaxMailing LocationMailing Address2600 S Town Center Dr Apt 2134, Las Vegas, NV 89135-2081PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameArmstrong-Dunmore, Myiesha (Owner)Phone(702) 366-4674Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode101Y00000XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer