Organization
REVIVE INFUSION
Active
Organization
REVIVE INFUSION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISA D ALEXANDER RN (CO OWNER)
(405) 229-9600
Entity
Organization
Contact information
Practice address
6904 SAINT MARYS PL, OKLAHOMA CITY, OK 73132-6821
(405) 229-9600
Mailing address
6904 SAINT MARYS PL, OKLAHOMA CITY, OK 73132-6821
(405) 229-9600
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
—
—
Other
Enumeration date
07/30/2021
Last updated
11/06/2021
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