Revive Medical Llc

Medical Foods Supplier



  
  5000, S Scenic, Bolivar
Missouri, 65613

 417-777-0797   
Revive Medical Llc is a Medical Foods Supplier in Bolivar, Missouri. It is located at 5000, S Scenic, Bolivar and it's customer support contact number is 417-777-0797. The authorized person of Revive Medical Llc is Mr. Troy Morrison who is Owner of this DME and his contact number is 417-777-0797.
Revive Medical Llc is a supplier of special replacement foods for clients with errors of metabolism that prohibit them from eating a regular diet. Medical foods are lacking in the compounds which cause complications of the metabolic disorder, and are not generally available in grocery stores, health food stores, or pharmacies.


DME Supplier Details:
Revive Medical Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
Name: Revive Medical Llc
Type: Medical Foods Supplier
Location:5000, S Scenic, Bolivar,
Missouri, 65613
Phone:417-777-0797
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
Name: Mr. Troy Morrison
Position: Owner
Contact Number: 417-777-0797
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
NPI Number: 1669087045
NPI Enumeration Date: 11 Sep, 2020
NPI Last Update On: 11 Sep, 2020

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Revive Medical Llc are as mentioned below.
SpecializationLicense NumberStateStatus
Medical Foods Supplier Primary
Parenteral & Enteral Nutrition Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 5000, S Scenic
Bolivar, Missouri
Zip: 65613
Phone Number: 417-777-0797
Patients can reach Revive Medical Llc at 5000, S Scenic, Bolivar, Missouri or can call on customer care at 417-777-0797.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.