Provider Demographics
NPI:1447525498
Name:RESPIRATORY REVOLUTIONS LLC
Entity type:Organization
Organization Name:RESPIRATORY REVOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:GIOVANN
Authorized Official - Last Name:EVOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-738-2157
Mailing Address - Street 1:20761 24 MILE RD
Mailing Address - Street 2:
Mailing Address - City:MACOMB
Mailing Address - State:MI
Mailing Address - Zip Code:48042-1914
Mailing Address - Country:US
Mailing Address - Phone:800-451-0816
Mailing Address - Fax:586-408-6049
Practice Address - Street 1:20761 24 MILE RD
Practice Address - Street 2:
Practice Address - City:MACOMB
Practice Address - State:MI
Practice Address - Zip Code:48042-1914
Practice Address - Country:US
Practice Address - Phone:800-451-0816
Practice Address - Fax:586-408-6049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-08
Last Update Date:2012-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies