Revive Neurorecovery Center Clt Llc

LBN: Revive Neurorecovery Center Clt Llc
Revive Neurorecovery Center Clt Llc is an health care organization with primary practice located at 3463 Highway 21 Ste 112 , Fort Mill SC 29715-7210. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Revive Neurorecovery Center Clt Llc can be contacted via phone (704) 900-3674, or through Clark, Ashley via phone (704) 900-3674.

Contact Information

Primary practice address
3463 Highway 21 Ste 112 Fort Mill SC 29715-7210
Phone: (704) 900-3674
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Clark, Ashley DPT
Phone: (704) 900-3674

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1679201123
LBN Legal business name Revive Neurorecovery Center Clt Llc
DBA Doing business as
Authorized official Clark, Ashley DPT
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2022
Last updated Feb 25th, 2024 - about 7 months 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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