# REVIVE DAY PROGRAM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ReVive
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104601541
- **Authorized official:** MRS. GENEVIEVE DACE (OWNER)
- **Authorized official phone:** (925) 623-6094

## Contact information

- **Practice address:** 2906 MESA OAK CT, BRENTWOOD, CA 94513-4625
- **Practice address phone:** (925) 623-6094
- **Mailing address:** 8368 BRENTWOOD BLVD \# C, BRENTWOOD, CA 94513-1347
- **Mailing address phone:** (925) 623-6094

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 08/25/2023
- **Last updated:** 08/25/2023