Organization
RESPECT THE DRIP IV HYDRATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOGAN TEAL NRP (OWNER)
(770) 527-3729
Entity
Organization
Contact information
Practice address
619 HERRELL RD, VILLA RICA, GA 30180-4544
(770) 615-6376
Mailing address
619 HERRELL RD, VILLA RICA, GA 30180-4544
(770) 615-6376
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
261Q00000X
Clinic/Center
—
—
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
03/18/2026
Last updated
03/18/2026
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