Organization
REVIVE HEALTHCARE SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEYANA ROBINSON (DIRECTOR)
(314) 760-6072
Entity
Organization
Contact information
Practice address
6427 PERRY AVE, SAINT LOUIS, MO 63121-5439
(314) 576-0607
Mailing address
3712 HARTFORD ST, SAINT LOUIS, MO 63116-4806
(314) 760-6072
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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