Organization
REVIVE 906 LLC
Active
Other names
Revive Hydration and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARAH HART (OWNER/PARAMEDIC)
(906) 282-4372
Entity
Organization
Contact information
Practice address
8842 WINEGAR RD, LAINGSBURG, MI 48848-8722
(906) 282-4372
Mailing address
8842 WINEGAR RD, LAINGSBURG, MI 48848-8722
(906) 200-1496
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
—
—
Other
Enumeration date
06/17/2024
Last updated
06/18/2024
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