REVIVE RECOVERY AND WELLNESS NPI 1366207425

NPI Information

NPI: 1366207425
Provider Name: REVIVE RECOVERY AND WELLNESS
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
1886 BLAIN HWY
WAVERLY, OH
ZIP 45690
Phone: (740) 708-5019
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REVIVE RECOVERY AND WELLNESS is a rehabilitation and substance use disorder clinic center in Waverly, OH. REVIVE RECOVERY AND WELLNESS NPI is 1366207425. The provider is registered as an organization entity type.

The provider's business location address is:

1886 BLAIN HWY
WAVERLY, OH
ZIP 45690-070
Phone: (740) 708-5019

The provider's authorized official is Deanna Depugh .
The authorized official title is Owner and has the following contact phone number (740) 708-5019.

The enumeration date for this NPI number is 2/19/2024 and was last updated on 2/19/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261Q00000X	Clinic/Center				No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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