Revival IV and Wellness Clinic LLC
Revival IV and Wellness Clinic LLC is a Clinic/Center in Shelton, Connecticut. Registered with an NPI since 2024.
- In the registry since
- 2024
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
12 Progress Dr Ste 1DShelton, CT 06484-6290
Phone: (475) 314-3011
Fax: (475) 314-3011
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X |
|---|
Record details
| NPI number | 1033974878 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Keisha Asante — Fnp · (475) 314-3011 |
| NPI enumerated | February 20, 2024 |
| Last updated in NPPES | February 20, 2024 |
| Certification date | February 20, 2024 |
| Mailing address | 120 Longview Dr, Stratford, CT 06614-1398 |
Other providers in Shelton
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Visiting Clinicians, PC
12 Progress Dr Ste 1, Shelton, CT 06484-6290 · (615) 289-6494