Revitalife, Inc

LBN: Revitalife, Inc
Revitalife, Inc is an health care organization with primary practice located at 102 Mary Alice Park Rd Ste 402 , Cumming GA 30040-2692. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obesity Medicine, which is considered as the primary health care specialty. Revitalife, Inc can be contacted via phone (770) 744-1409, or through Ward, Davia via phone (770) 744-1409.

Contact Information

Primary practice address
102 Mary Alice Park Rd Ste 402 Cumming GA 30040-2692
Phone: (770) 744-1409
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ward, Davia
Phone: (770) 744-1409

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obesity Medicine 207RB0002X

Profile Details

NPI number 1104504406
LBN Legal business name Revitalife, Inc
DBA Doing business as
Authorized official Ward, Davia
Entity Organization
Organization subpart 1 No
Enumeration date Jul 6th, 2023
Last updated Jul 6th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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