Revive Medical LLC
Revive Medical LLC is a Parenteral & Enteral Nutrition Supplies (DME) in Bolivar, Missouri. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5000 S ScenicBolivar, MO 65613
Phone: (417) 777-0797
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
| Medical Foods Supplier (primary) | Taxonomy 335G00000X |
|---|---|
| Parenteral & Enteral Nutrition Supplies (DME) | Taxonomy 332BP3500X |
Record details
| NPI number | 1669087045 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Troy Morrison — Owner · (417) 777-0797 |
| Other names | Ricochet Nutrition |
| NPI enumerated | September 11, 2020 |
| Last updated in NPPES | September 11, 2020 |
| Certification date | September 11, 2020 |
| Mailing address | 5000, S Scenic, Bolivar, MO 65613 |