Organization · Type 2 NPI

Reivitalize Therapy Infusions & Health Services, LLC

Infusion Therapy Clinic/Center · Clarksdale, MS

NPI number 1104538768 Active

Practice location

220 Sunflower Ave
Clarksdale, MS 38614-4221

Call (662) 351-2035 Map

Fax (662) 351-2045

Mailing address

PO Box 1744
Clarksdale, MS 38614-8544

Specialties and licenses

Taxonomy	Code	License
Home Infusion Agency	251F00000X	None listed
Clinic/Center	261Q00000X	None listed
Infusion Therapy Clinic/Center Primary	261QI0500X	None listed

Infusion Therapy Clinic/Center: Definition to come...

Another provider at this address

Anna C. Jones, FNP-CFamily Nurse Practitioner Clarksdale, MS NPI 1124505649

NPI record

NPI: 1104538768
Entity type: Organization (Type 2)
Issued: Dec 14, 2022
Last updated: May 17, 2023
Status: Active

Other names

<unavail>
Reivitalize Therapy Infusions · doing business as
Reivitalize Therapy Infusions & Health Services · doing business as
Reivitalize Therapy Center PLLC · former legal business name
Reivitalize Therapy Infusions, PLLC · former legal business name

Authorized official

Mrs. Anna Jones, FNP-C
Member
(662) 351-2035

Verify this record

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About NPI 1104538768

Reivitalize Therapy Infusions & Health Services, LLC's National Provider Identifier is 1104538768, issued on Dec 14, 2022. The primary taxonomy on file is Infusion Therapy Clinic/Center (261QI0500X), and the practice location is in Clarksdale, MS. The record was last updated on May 17, 2023.