NPI 1669087045

Revive Medical LLC

Organisation Medical Foods Supplier Bolivar, MO

Practice location

Address: 5000 S Scenic, Bolivar, MO 65613
Phone: (417) 777-0797

Authorised official

Name: Troy Morrison
Title: Owner
Phone: (417) 777-0797

Registered specialties (2)

Medical Foods Supplier Primary

Suppliers Taxonomy 335G00000X

Other Medical Foods Supplier providers in Missouri →

Parenteral & Enteral Nutrition Supplies (DME)

Suppliers Taxonomy 332BP3500X

Other Durable Medical Equipment & Medical Supplies providers in Missouri →

Registry record

NPI: 1669087045
Entity type: Organization
NPI issued: 11 Sep 2020
Record last updated: 11 Sep 2020

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.