Revitalize Support Services, LLC
Revitalize Support Services, LLC is a Developmentally Disabled Services Day Training Agency in Baltimore, Maryland. Registered with an NPI since 2025.
- In the registry since
- 2025
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4606 Moravia Run WayBaltimore, MD 21206-3582
Phone: (443) 619-1222
Fax: (443) 619-1222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|---|
| Developmentally Disabled Services Day Training Agency | Taxonomy 251C00000X |
Record details
| NPI number | 1134081862 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Irenerenette Ellis — Owner/Administrator/President/Ceo · (443) 619-1222 |
| NPI enumerated | December 1, 2025 |
| Last updated in NPPES | December 1, 2025 |
| Certification date | December 1, 2025 |
| Mailing address | 4606 Moravia Run Way, Baltimore, MD 21206-3582 |
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