Organization · Type 2 NPI
Revive Stem
Home Infusion Agency · Highland, UT
NPI number
1821819210
Active
Practice location
11469 N Broadleaf Hollow Ln
Highland, UT 84003-5632
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Infusion Agency Primary | 251F00000X | None listed |
| Infusion Therapy Clinic/Center | 261QI0500X | None listed |
Home Infusion Agency: Definition to come...
About NPI 1821819210
Revive Stem's National Provider Identifier is 1821819210, issued on Oct 18, 2024. The primary taxonomy on file is Home Infusion Agency (251F00000X), and the practice location is in Highland, UT. The record was last updated on Oct 18, 2024.