| NPI | 1467164095 |
|---|---|
| Doing Business As | VIVE INFUSION AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | CARRIE TATE Owner 870-336-1216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center Infusion Therapy |
| Enumeration Date | 2022-12-14 |
| Last Update Date | 2023-02-17 |