Overview
Name: REVITALIZE MEDICAL SUPPLY
Specialty: Durable Medical Equipment & Medical Supplies
Type of Practice: Organization
Provider/Org:
Medical School:
Graduation year from medical school:
Affiliation:
Specialties
Practice Type: Suppliers
Classification: Durable Medical Equipment & Medical Supplies
Specialization: .
Definition of Specialty: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time.
License & NPI
License #(s): , , , ,
License State(s): , , , ,
Addresses
Practice Location: REVITALIZE MEDICAL SUPPLY,4954 E POWERHOUSE DR,IDAHO FALLS,ID,834065064,US
Mailing Address: REVITALIZE MEDICAL SUPPLY,4954 E POWERHOUSE DR,IDAHO FALLS,ID,834065064,US
Contact #
Practice location phone #: 2085890821
Practice location fax #:
Mailing address Phone #: 2085890821
Mailing Address fax #:
Authorized official Name/Telephone #:WHITNEY, WHITWORTH, OWNER 2085890821
Misc
Date NPI was obtained: 08/30/2021
Last data data was updated: 08/30/2021
Insurances: