Organization
REVIVE 906 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH HART (OWNER)
(906) 282-4372
Entity
Organization
Contact information
Practice address
2940 E LAKE LANSING RD, EAST LANSING, MI 48823-7414
(906) 200-1496
Mailing address
2940 E LAKE LANSING RD, EAST LANSING, MI 48823-7414
(906) 200-1496
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
251F00000X
Home Infusion Agency
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
Other
Enumeration date
12/30/2025
Last updated
12/30/2025
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