Revive Day Program
NPI #1104601541 in Brentwood, California
Provider Information
- NPI Number
- 1104601541
- Entity Type
- Organization
- Organization Name
- Revive Day Program
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Aug 25, 2023
- Last Updated
- Aug 25, 2023
Practice Location
- Address
- 2906 MESA OAK CT
- City
- Brentwood
- State
- California
- ZIP Code
- 94513-4625
- Phone
- (925) 623-6094
Authorized Official
- Name
- MRS. GENEVIEVE DACE
- Title
- OWNER
- Phone
- (925) 623-6094
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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