Revitalized, Llc

LBN: Revitalized, Llc
Revitalized, Llc is an health care organization with primary practice located at 4421 Quail Ridge Dr , Mint Hill NC 28227-8236. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as the primary health care specialty. Revitalized, Llc can be contacted via phone (704) 800-4980, or through Fowler, Daniel via phone (704) 800-4980.

Contact Information

Primary practice address
4421 Quail Ridge Dr Mint Hill NC 28227-8236
Phone: (704) 800-4980
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fowler, Daniel
Phone: (704) 800-4980

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X

Profile Details

NPI number 1962149237
LBN Legal business name Revitalized, Llc
DBA Doing business as
Authorized official Fowler, Daniel
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2022
Last updated May 17th, 2022 - about 4 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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