| NPI | 1710290622 |
|---|---|
| Doing Business As | REVIVE RESPIRATORY AND DME LLC |
| Entity Type | Organization |
| Authorized Contact | VERA MITCHELL WARE Owner/Manager 318-687-8813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: LA LT3525) |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2010-07-22 |