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Organization

REVIVE SV OPCO, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ZACHARY GRAY (CEO)
(518) 852-3255
Entity
Organization

Contact information

Practice address
6155 STONE VALLEY DR, RENO, NV 89523-1203
(775) 746-2200
Mailing address
9410 PROTOTYPE DR STE 7, RENO, NV 89521-5903
(775) 746-2200

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
05/29/2026
Last updated
05/29/2026
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