# REVITALIZE CARE HOME

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ReVitalize Care Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184400459
- **Authorized official:** GENEVIEVE DACE NP (OWNER)
- **Authorized official phone:** (925) 623-6094

## Contact information

- **Practice address:** 1913 CARDIFF DR, PITTSBURG, CA 94565-4049
- **Practice address phone:** (925) 267-9822
- **Mailing address:** 1913 CARDIFF DR, PITTSBURG, CA 94565-4049

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 09/04/2023
- **Last updated:** 09/04/2023