Organization
REVITALIZE CARE HOME
Active
Other names
ReVitalize Care Home
Organization subpart
No
Provider details
NPI number
Authorized official
GENEVIEVE DACE NP (OWNER)
(925) 623-6094
Entity
Organization
Contact information
Practice address
1913 CARDIFF DR, PITTSBURG, CA 94565-4049
(925) 267-9822
Mailing address
1913 CARDIFF DR, PITTSBURG, CA 94565-4049
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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