Organization
REVIVE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED HUSSEIN (OWNER)
(612) 271-6983
Entity
Organization
Contact information
Practice address
849 W 80TH ST STE 2, BLOOMINGTON, MN 55420-1027
(612) 271-6983
Mailing address
849 W 80TH ST STE 2, BLOOMINGTON, MN 55420-1027
(612) 271-6983
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/13/2024
Last updated
11/11/2025
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