Organization · Type 2 NPI

Revival Care LLC

Clinic/Center · St. Paul, MN

NPI number 1013879873 Active

Practice location

438 Daly St
St. Paul, MN 55102-3550

Call (952) 239-6790 Map

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: 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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About NPI 1013879873

Revival Care LLC's National Provider Identifier is 1013879873, issued on Dec 1, 2025. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in St. Paul, MN. The record was last updated on Dec 1, 2025.