J-Revival LLC

NPI #1013705698 in Eagan, Minnesota

Provider Information

NPI Number
1013705698
Entity Type
Organization
Organization Name
J-Revival LLC
Primary Specialty
In Home Supportive Care
Enumeration Date
Apr 25, 2025
Last Updated
Apr 25, 2025

Practice Location

Address
4391 GARDEN TRL
City
Eagan
ZIP Code
55123-1756
Phone
(689) 242-0854

Authorized Official

Name
JEWELL REICHENBERGER, M.ED
Title
CEO
Phone
(689) 242-0854

Specialties & Taxonomy Codes

Specialty
In Home Supportive Care

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