Revival Recovery Center Staffing
LBN: Revival Recovery Center Staffing Llc
Revival Recovery Center Staffing is an health care organization with primary practice located at 5797 Felske Dr , Brighton MI 48116-9505. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Recovery Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Ambulatory Health Care Facilities / Recovery Care is the primary health care specialty.
Revival Recovery Center Staffing Llc can be contacted via phone (248) 949-7177, or through Perna, Lisa A via phone (248) 949-7177.
Contact Information
Primary practice address
5797 Felske Dr
Brighton MI 48116-9505
Phone: (248) 949-7177
Fax:
Website:
Authorized official contact:
Name: Perna, Lisa A Family Nurse Practitioner (FNP)
Phone: (248) 949-7177
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Recovery Care | 261QR0800X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X |
Profile Details
| NPI number | 1184398331 |
|---|---|
| LBN Legal business name | Revival Recovery Center Staffing Llc |
| DBA Doing business as | Revival Recovery Center Staffing |
| Authorized official | Perna, Lisa A Family Nurse Practitioner (FNP) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 2nd, 2021 |
| Last updated | Sep 23rd, 2021 - about 5 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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