| NPI | 1992556369 |
|---|---|
| Doing Business As | REVIVE HYDRATION & WELLNESS |
| Entity Type | Organization |
| Authorized Contact | ANDREW PIERCE Agent 269-282-9022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Additional Taxonomies | 251J00000X Nursing Care |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2025-02-08 |