# REVIVE CLINIC AND IV THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Revive Clinic and IV Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942079231
- **Authorized official:** GURDEV SINGH DIRECTOR (DIERCTOR)
- **Authorized official phone:** (703) 585-4942

## Contact information

- **Practice address:** 7000 INFANTRY RIDGE RD STE 110A, MANASSAS, VA 20109-2370
- **Practice address phone:** (703) 828-8089
- **Mailing address:** 7000 INFANTRY RIDGE RD STE 110A, MANASSAS, VA 20109-2370
- **Mailing address phone:** (703) 828-8089

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/27/2023
- **Last updated:** 12/27/2023