NPI 1013705698
J-Revival LLC
Practice location
- Address
- 4391 Garden Trl, Eagan, MN 55123-1756
- Phone
- (689) 242-0854
Authorised official
- Name
- Jewell Reichenberger
- Title
- Ceo
- Phone
- (689) 242-0854
Registered specialties
In Home Supportive Care Agency
Primary
Registry record
- NPI
- 1013705698
- Entity type
- Organization
- NPI issued
- 25 Apr 2025
- Record last updated
- 2 Apr 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.