| Revive Recovery And Wellness | |
|
1886 Blain Hwy Waverly OH 45690-9070 | |
| (740) 708-5019 | |
| Not Available |
| Full Name | Revive Recovery And Wellness |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 1886 Blain Hwy, Waverly, Ohio |
| Authorized Official Name and Position | Deanna Depugh (OWNER) |
| Authorized Official Contact | 7407085019 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Recovery And Wellness 1886 Blain Hwy Waverly OH 45690-9070 Ph: (740) 708-5019 | Revive Recovery And Wellness 1886 Blain Hwy Waverly OH 45690-9070 Ph: (740) 708-5019 |
| NPI Number | 1366207425 |
|---|---|
| Provider Enumeration Date | 02/19/2024 |
| Last Update Date | 02/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366207425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
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