Organization · Type 2 NPI
Revival IV and Wellness Clinic LLC
Clinic/Center · Shelton, CT
NPI number
1033974878
Active
Practice location
12 Progress Dr Ste 1D
Shelton, CT 06484-6290
Fax (475) 314-3011
Mailing address
120 Longview Dr
Stratford, CT 06614-1398
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None 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).
Another provider at this address
Other clinic/center providers in Shelton
About NPI 1033974878
Revival IV and Wellness Clinic LLC's National Provider Identifier is 1033974878, issued on Feb 20, 2024. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Shelton, CT. The record was last updated on Feb 20, 2024.