# RAPID REVIVE WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407698426
- **Authorized official:** DARLINE PHAM (OWNER)
- **Authorized official phone:** (541) 870-0146

## Contact information

- **Practice address:** 16 SW 9TH ST, BATTLE GROUND, WA 98604-3126
- **Practice address phone:** (360) 217-9321
- **Mailing address:** PO BOX 336, BRUSH PRAIRIE, WA 98606-0336
- **Mailing address phone:** (360) 217-9321

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251F00000X | Home Infusion Agency | — | NULL | — |

## Other

- **Enumeration date:** 06/10/2024
- **Last updated:** 06/10/2024