Revive Iv Hydration Therapy

LBN: Revive Iv Hydration Therapy
Revive Iv Hydration Therapy is an health care organization with primary practice located at 4747 E Elliot Rd # 109 , Phoenix AZ 85044-1627. The organization recently has only one registered license in Ambulatory Health Care Facilities / Infusion Therapy, which is considered as the primary health care specialty. Revive Iv Hydration Therapy can be contacted via phone (480) 876-1148, or through Mohamed, Samah via phone (720) 935-1490.

Contact Information

Primary practice address
4747 E Elliot Rd # 109 Phoenix AZ 85044-1627
Fax:
Website:
Authorized official contact:
Name: Mohamed, Samah M.S

Health care specialties

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

Profile Details

NPI number 1205534583
LBN Legal business name Revive Iv Hydration Therapy
DBA Doing business as
Authorized official Mohamed, Samah M.S
Entity Organization
Organization subpart 1 No
Enumeration date Feb 16th, 2023
Last updated Feb 16th, 2023 - about 2 years ago

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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