Revitalife Wellness Center Llc

LBN: Revitalife Wellness Center Llc
Revitalife Wellness Center Llc is an health care organization with primary practice located at 777 S New Ballas Rd Ste 100E, Saint Louis MO 63141-8705. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Revitalife Wellness Center Llc can be contacted via phone (314) 913-5861, or through Robins, Christina via phone (314) 913-5861.

Contact Information

Primary practice address
777 S New Ballas Rd Ste 100E Saint Louis MO 63141-8705
Phone: (314) 913-5861
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Robins, Christina Doctor of Medicine (MD)
Phone: (314) 913-5861

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1104185685
LBN Legal business name Revitalife Wellness Center Llc
DBA Doing business as
Authorized official Robins, Christina Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2012
Last updated May 23rd, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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