Rejuvaah & Revvived

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

REJUVAAH & REVVIVED

Practice address

820 S University Blvd Ste 2K
Mobile, AL 36609-7860

Phone

(251) 277-7373

Fax

(251) 277-7376

NPI assigned

Feb 6, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lawanda Sharee Fantroy, APRN

Title

Co-Founder

Phone

(228) 235-6015

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1114623675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 S UNIVERSITY BLVD STE 2K",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366097860",
            "telephone_number": "251-277-7373",
            "fax_number": "251-277-7376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S UNIVERSITY BLVD STE 2K",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366097860",
            "telephone_number": "251-277-7373",
            "fax_number": "251-277-7376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVAAH & REVVIVED",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A",
        "authorized_official_last_name": "FANTROY",
        "authorized_official_first_name": "LAWANDA",
        "authorized_official_middle_name": "SHAREE",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "228-235-6015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Charles Reindl, D.M.D.
• Laurie Reiney, SLP
• Trisha A Reinhold, CRNA
• Bridget R Reiter, RD
• Julee A Reitzel, DO
• Abigail Remick
• Renaissance Residency
• Renew Physiotherapy
• Renewed Hope Counseling, LLC
• Renewed Life Counseling LLC

• Infusion Therapy Clinic/Center in Mobile, AL
• Providers in Mobile, AL by specialty
• Infusion Therapy Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.