Organization
REVIVE HEALTH AND INJURY CENTER, LLC
Active
Organization
REVIVE HEALTH AND INJURY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON A MALUCCI DC (OWNER OF ENTITY)
(610) 999-1815
Entity
Organization
Contact information
Practice address
333 N LIMESTONE ST STE 104, SPRINGFIELD, OH 45503-4250
(937) 319-4343
Mailing address
333 N LIMESTONE ST STE 104, SPRINGFIELD, OH 45503-4250
(937) 319-4343
(937) 319-4344
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
363LA2100X
Acute Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/15/2018
Last updated
12/14/2022
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