Organization · NPI-2
8revive, LLC
Clinic/Center · Kahului, HI
NPI number1619258563
StatusActive
Last updated in NPPESMar 21, 2015
Details
- NPI
- 1619258563
- Entity type
- Organization (NPI-2)
- Legal business name
- 8revive, LLC
- Organization subpart
- No
- Enumeration date
- Sep 6, 2011
- Last updated
- Mar 21, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | MAE-2645 | HI | Yes |
Other names
- Infinity Revive Massage & Wellness Ctr (Doing Business As)
Practice location
161 Maa StSuite 101
Kahului, HI 96732-3603
Phone 808-270-1893 · Fax 808-270-1892
Mailing address
161 Maa StSuite 101
Kahului, HI 96732-3603
Phone 808-270-1893 · Fax 808-270-1892
Authorized official
Jennifer Andreoni
Owner/Manager
8082701893
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.