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Organization
REVIVAL ADULT FOSTER CARE
Active
Organization
REVIVAL ADULT FOSTER CARE
Active
Other names
REVIVAL ADULT FOSTER CARE
Organization subpart
No
Provider details
NPI number
Authorized official
JUNIA JOSEPH (ADMINISTRATOR)
(617) 821-9970
Entity
Organization
Contact information
Practice address
300 BAKER AVE STE 300, CONCORD, MA 01742-2124
(857) 327-6168
Mailing address
300 BAKER AVE STE 300, CONCORD, MA 01742-2124
(857) 327-6168
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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