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Organization

REVIVE DAY PROGRAM

Active
Other names
ReVive
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. GENEVIEVE DACE (OWNER)
(925) 623-6094
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary

Other

Enumeration date
08/25/2023
Last updated
08/25/2023
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