Organization
REVIVE WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BESSEM OJONG ADESO NP (DIRECTOR)
(804) 852-2847
Entity
Organization
Contact information
Practice address
12306 QUAIL OAK CT, ASHLAND, VA 23005-7871
(804) 852-2847
(434) 217-1647
Mailing address
12306 QUAIL OAK CT, ASHLAND, VA 23005-7871
(804) 852-2847
(434) 217-1647
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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