An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Medical Specialty | 261QM2500X |
| Infusion Therapy | 261QI0500X |
* Indicates primary specialty
| NPI Number | 1558128314 |
| Legal business name LBN |
REVIVE HYDRATION AND FUNCTIONAL HEALTH LLC |
| Authorized official | BOBBY GUESS - (OWNER) |
| Entity | Organization |
| Organization subpart | No |
| Enumeration date | 02/28/2024 |
| Last updated | 02/28/2024 - About 2 years ago |
| Sole proprietor1 | Not specified |
| Identifiers | n/a |
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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