| NPI | 1104538768 |
|---|---|
| Doing Business As | REIVITALIZE THERAPY INFUSIONS |
| Entity Type | Organization |
| Authorized Contact | ANNA JONES Member 662-351-2035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center Infusion Therapy |
| Additional Taxonomies | 251F00000X Home Infusion |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2022-12-14 |
| Last Update Date | 2023-05-17 |