Revival Care LLC

NPI #1013879873 in Saint Paul, Minnesota

Provider Information

NPI Number: 1013879873
Entity Type: Organization
Organization Name: Revival Care LLC
Primary Specialty: Clinic/Center
Enumeration Date: Dec 1, 2025
Last Updated: Dec 1, 2025

Practice Location

Address: 438 DALY ST
City: Saint Paul
State: Minnesota
ZIP Code: 55102-3550
Phone: (952) 239-6790

Authorized Official

Name: BENJAMIN STAPP
Title: OWNER
Phone: (952) 239-6790

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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