| NPI | 1225627920 |
|---|---|
| Other Name | REVIVE HYDRATION LLC-S |
| Doing Business As | REVIVE RX |
| Entity Type | Organization |
| Authorized Contact | JANE ARCHER Owner 317-245-7353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2021-01-16 |
| Last Update Date | 2025-02-04 |