| Organization Name: | REVLIFE LLC |
| NPI Number: | 1043696651 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN HANKERSON (CEO) |
| Mailing Address: | 4202 Inverrary Blvd Apt 75b Lauderhill |
| State: | FL US |
| Postal Code: | 333194137 |
| Phone Number: | 9546587134 |
| Fax Number: | 9545305894 |
| NPI Enumeration Date: | 08/05/2015 |
| NPI Last Update Date: | 08/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246YC3302X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Spec/Tech, Health Info |
| Taxonomy Specialization: | Coding Specialist, Physician Office Based |
| Taxonomy Definition: | |