NPI 1710625801

Revive Medical LLC

Organisation Skilled Nursing Facility Gilbert, AZ

Practice location

Address: 1205 E Carla Vista Dr, Gilbert, AZ 85295-5408
Phone: (480) 299-7080
Mailing address: 1242 N 104th St, Mesa, AZ 85207-4504

Authorised official

Name: Steven Seymour
Title: President
Phone: (480) 299-7080

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X

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Registry record

NPI: 1710625801
Entity type: Organization
NPI issued: 26 May 2022
Record last updated: 26 Apr 2023

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.