NPI 1821819210

Revive Stem

Organisation Home Infusion Agency Highland, UT

Practice location

Address: 11469 N Broadleaf Hollow Ln, Highland, UT 84003-5632
Phone: (801) 550-7795

Authorised official

Name: Kristen Ellsworth
Title: Owner
Phone: (801) 550-7795

Registered specialties (2)

Home Infusion Agency Primary

Agencies Taxonomy 251F00000X

Other Home Infusion providers in Utah →

Infusion Therapy Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QI0500X

Other Clinic/Center providers in Utah →

Registry record

NPI: 1821819210
Entity type: Organization
NPI issued: 18 Oct 2024
Record last updated: 18 Oct 2024

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.