Revive Wellness Center Inc

LBN: Revive Wellness Center Inc
Revive Wellness Center Inc is an health care organization with primary practice located at 2704 14Th Ave S , Minneapolis MN 55407-1127. The organization recently has only one registered license in Ambulatory Health Care Facilities / Recovery Care, which is considered as the primary health care specialty. Revive Wellness Center Inc can be contacted via phone (612) 987-2990, or through Abukar, Anwar Mustafa via phone (612) 707-6834.

Contact Information

Primary practice address
2704 14Th Ave S Minneapolis MN 55407-1127
Phone: (612) 987-2990
Fax: (612) 987-2990
Website:
Map and Directions
Authorized official contact:
Name: Abukar, Anwar Mustafa
Phone: (612) 707-6834

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Recovery Care 261QR0800X

Profile Details

NPI number 1235939612
LBN Legal business name Revive Wellness Center Inc
DBA Doing business as
Authorized official Abukar, Anwar Mustafa
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2025
Last updated Mar 15th, 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.

Request for update

Popular Providers