Organization
REVIVE NONPROFIT
Active
Other names
REVIVE
Organization subpart
No
Provider details
NPI number
Authorized official
SANAA IRBY NP (NURSE PRACTITIONER)
(513) 549-1846
Entity
Organization
Contact information
Practice address
11427 REED HARTMAN HWY, BLUE ASH, OH 45241-2418
(513) 549-1846
Mailing address
11427 REED HARTMAN HWY, BLUE ASH, OH 45241-2418
(513) 549-1846
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
05/06/2025
Last updated
05/06/2025
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