Provider Demographics
NPI:1497902415
Name:LIFE REVITALIZING SYSTEM, LLC
Entity Type:Organization
Organization Name:LIFE REVITALIZING SYSTEM, LLC
Other - Org Name:RELAX TO SLEEP SOLUTION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:REAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-686-4370
Mailing Address - Street 1:3300 E EXPRESSWAY 83
Mailing Address - Street 2:SUITE 1270
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-8348
Mailing Address - Country:US
Mailing Address - Phone:956-686-4370
Mailing Address - Fax:956-686-4385
Practice Address - Street 1:3300 E EXPRESSWAY 83
Practice Address - Street 2:SUITE 1270
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-8348
Practice Address - Country:US
Practice Address - Phone:956-686-4370
Practice Address - Fax:956-686-4385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-20
Last Update Date:2008-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies