REVIVE HEALTH CENTER OF UTAH LLC is a licensed practical nurse in Layton, UT. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. REVIVE HEALTH CENTER OF UTAH LLC NPI is 1184042236. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
3080 N FAIRFIELD RD
SUITE 1
LAYTON, UT
ZIP 84041-694
Phone: (801) 820-6585
The provider's authorized official is Jacob Tippetts .
The authorized official title is Administrator and has the following contact phone number (801) 820-6585.
The enumeration date for this NPI number is 4/4/2014 and was last updated on 4/4/2014.