# REVIVE HEALTHCARE SOLUTIONS LLC

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

## Provider details

- **NPI number:** 1477312379
- **Authorized official:** KEYANA ROBINSON (DIRECTOR)
- **Authorized official phone:** (314) 760-6072

## Contact information

- **Practice address:** 6427 PERRY AVE, SAINT LOUIS, MO 63121-5439
- **Practice address phone:** (314) 576-0607
- **Mailing address:** 3712 HARTFORD ST, SAINT LOUIS, MO 63116-4806
- **Mailing address phone:** (314) 760-6072

## Taxonomy

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

## Other

- **Enumeration date:** 03/14/2024
- **Last updated:** 03/14/2024