Revitalize Nutrition Corp

LBN: Revitalize Nutrition Corp
Revitalize Nutrition Corp is an health care organization with primary practice located at 7308 N Western Ave , Oklahoma City OK 73116-7120. The organization recently has only one registered license in Ambulatory Health Care Facilities / Infusion Therapy, which is considered as the primary health care specialty. Revitalize Nutrition Corp can be contacted via phone (405) 625-6488, or through Meyer, David via phone (405) 201-0001.

Contact Information

Primary practice address
7308 N Western Ave Oklahoma City OK 73116-7120
Phone: (405) 625-6488
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Meyer, David Registered Nurse (RN)
Phone: (405) 201-0001

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Infusion Therapy 261QI0500X

Profile Details

NPI number 1306635537
LBN Legal business name Revitalize Nutrition Corp
DBA Doing business as
Authorized official Meyer, David Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date May 5th, 2025
Last updated May 5th, 2025 - about last year

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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