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Revival Iv And Wellness Clinic Llc
Clinic/Center in Shelton, Connecticut
NPI 1033974878

Revival Iv And Wellness Clinic Llc is a Clinic/Center based in Stratford, CT. Revival Iv And Wellness Clinic Llc practices in Shelton, CT. The NPI Number for Revival Iv And Wellness Clinic Llc is 1033974878 and holds a License No. (Connecticut).

The current practice location address for Revival Iv And Wellness Clinic Llc is 12 Progress Dr Ste 1D, Shelton, CT and can be reached out via phone at 475-314-3011 and via fax at 475-314-3011.

Location: 12 Progress Dr Ste 1D, Shelton, CT, 06614-1398
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1033974878
Provider Name
Revival Iv And Wellness Clinic Llc
Credential
Provider Entity Type
Organization
Address
12 Progress Dr Ste 1D, Shelton, CT, 06614-1398
Phone Number
475-314-3011
Fax Number
475-314-3011
Provider Enumeration Date
02/20/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
12 Progress Dr Ste 1D
City
Shelton
State
Connecticut
Zip
06484-6290
Phone Number
475-314-3011
Fax Number
475-314-3011
person
Provider Business Mailing Address Details
Address
12 Progress Dr Ste 1D
City
Shelton
State
Connecticut
Zip
06484-6290
Phone Number
475-314-3011
Fax Number
475-314-3011
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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