Revive Stem
Revive Stem is a Home Infusion Agency in Highland, Utah. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
11469 N Broadleaf Hollow LnHighland, UT 84003-5632
Phone: (801) 550-7795
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Home Infusion Agency (primary) | Taxonomy 251F00000X |
|---|---|
| Infusion Therapy Clinic/Center | Taxonomy 261QI0500X |
Record details
| NPI number | 1821819210 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kristen Ellsworth — Owner · (801) 550-7795 |
| NPI enumerated | October 18, 2024 |
| Last updated in NPPES | October 18, 2024 |
| Certification date | October 18, 2024 |
| Mailing address | 11469 N Broadleaf Hollow Ln, Highland, UT 84003-5632 |