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Revive Medical Llc
Medical Foods Supplier in Bolivar, Missouri
NPI 1669087045

Revive Medical Llc is a Medical Foods Supplier based in Bolivar, MO. Revive Medical Llc practices in Bolivar, MO. The NPI Number for Revive Medical Llc is 1669087045 and holds a License No. (Missouri).

The current practice location address for Revive Medical Llc is 5000, Bolivar, MO and can be reached out via phone at 417-777-0797.

Location: 5000, Bolivar, MO, 65613
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669087045
Provider Name
Revive Medical Llc
Credential
Provider Entity Type
Organization
Address
5000, Bolivar, MO, 65613
Phone Number
417-777-0797
Fax Number
Provider Enumeration Date
09/11/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5000
City
Bolivar
State
Missouri
Zip
65613
Phone Number
417-777-0797
Fax Number
person
Provider Business Mailing Address Details
Address
5000
City
Bolivar
State
Missouri
Zip
65613
Phone Number
417-777-0797
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
332BP3500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Medical Foods Supplier
Speciality
-
Taxonomy
335G00000X
License No.
()
Definition
A supplier of special replacement foods for clients with errors of metabolism that prohibit them from eating a regular diet. Medical foods are lacking in the compounds which cause complications of the metabolic disorder, and are not generally available in grocery stores, health food stores, or pharmacies.
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