Revive Wellness And Rejuvenation Llc

LBN: Revive Wellness And Rejuvenation Llc
Revive Wellness And Rejuvenation Llc is an health care organization with primary practice located at 20229 N 67Th Ave Ste C-A , Glendale AZ 85308-6664. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. Revive Wellness And Rejuvenation Llc can be contacted via phone (602) 595-7836, or through Graham, Robert via phone (602) 595-7836.

Contact Information

Primary practice address
20229 N 67Th Ave Ste C-A Glendale AZ 85308-6664
Phone: (602) 595-7836
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Graham, Robert Doctor of Chiropractic (DC)
Phone: (602) 595-7836

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1184252678
LBN Legal business name Revive Wellness And Rejuvenation Llc
DBA Doing business as
Authorized official Graham, Robert Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 30th, 2020
Last updated May 1st, 2020 - about 6 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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