Organization · Type 2 NPI
Revive Day Program
Adult Care Home Facility · Brentwood, CA
NPI number
1104601541
Active
Practice location
2906 Mesa Oak Ct
Brentwood, CA 94513-4625
Mailing address
8368 Brentwood Blvd # C
Brentwood, CA 94513-1347
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Other adult care home facility providers in Brentwood
About NPI 1104601541
Revive Day Program's National Provider Identifier is 1104601541, issued on Aug 25, 2023. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Brentwood, CA. The record was last updated on Aug 25, 2023.