Organization
REIVITALIZE THERAPY INFUSIONS & HEALTH SERVICES, LLC
Active
Other names
ReIVitalize Therapy Center PLLC, ReIVitalize Therapy Infusions, ReIVitalize Therapy Infusions, PLLC, ReIVitalize Therapy Infusions & Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNA JONES FNP-C (MEMBER)
(662) 351-2035
Entity
Organization
Contact information
Practice address
220 SUNFLOWER AVE, CLARKSDALE, MS 38614-4221
(662) 351-2035
(662) 351-2045
Mailing address
PO BOX 1744, CLARKSDALE, MS 38614-8544
(662) 351-2035
(662) 351-2045
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
261Q00000X
Clinic/Center
—
—
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/14/2022
Last updated
05/17/2023
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