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
—
—
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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