Revive Hydration And Functional Health Llc

LBN: Revive Hydration And Functional Health Llc
Revive Hydration And Functional Health Llc is an health care organization with primary practice located at 1150 Ward Street Ext W Ste B1 , Douglas GA 31533-1913. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Infusion Therapy, Ambulatory Health Care Facilities / Medical Specialty. Ambulatory Health Care Facilities / Medical Specialty is the primary health care specialty. Revive Hydration And Functional Health Llc can be contacted via phone (912) 720-5450, or through Guess, Bobby J via phone (912) 720-5450.

Contact Information

Primary practice address
1150 Ward Street Ext W Ste B1 Douglas GA 31533-1913
Phone: (912) 720-5450
Fax: (866) 611-2696
Website:
Map and Directions
Authorized official contact:
Name: Guess, Bobby J FNP-C
Phone: (912) 720-5450

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Infusion Therapy 261QI0500X
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X

Profile Details

NPI number 1558128314
LBN Legal business name Revive Hydration And Functional Health Llc
DBA Doing business as
Authorized official Guess, Bobby J FNP-C
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2024
Last updated Feb 28th, 2024 - 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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