Revitalize Care Home
NPI #1184400459 in Pittsburg, California
Provider Information
- NPI Number
- 1184400459
- Entity Type
- Organization
- Organization Name
- Revitalize Care Home
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Sep 4, 2023
- Last Updated
- Sep 4, 2023
Practice Location
- Address
- 1913 CARDIFF DR
- City
- Pittsburg
- State
- California
- ZIP Code
- 94565-4049
- Phone
- (925) 267-9822
Authorized Official
- Name
- GENEVIEVE DACE, NP
- Title
- OWNER
- Phone
- (925) 623-6094
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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