1477340735 REVIVAL REENTRY
Voluntary or Charitable Agency
Active
Basic Information
- Organization Name
- REVIVAL REENTRY
- Enumeration Date
- April 21, 2025
- Last Update
- April 21, 2025
- Authorized Official
- ASHLEY ELLIOTT
PRESIDENT/CEO
Phone: (707) 376-5086
Practice Location
- Address
- 521 CAPPS LN
UKIAH, CA 954827227 - Phone
- (707) 376-5086
Mailing Address
- Address
- 521 CAPPS LN
UKIAH, CA 954827227 - Phone
- (707) 376-5086
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | In Home Supportive Care | N/A | N/A | No |
| Case Management Agency | 251B00000X | Case Management | N/A | N/A | No |
| Community/Behavioral Health Agency | 251S00000X | Community/Behavioral Health | N/A | N/A | No |
| Local Education Agency (LEA) | 251300000X | Local Education Agency (LEA) | N/A | N/A | No |
| Meals Provider | 174200000X | Meals | N/A | N/A | No |
| Lodging Provider | 177F00000X | Lodging | N/A | N/A | No |
| Voluntary or Charitable Agency | 251V00000X | Voluntary or Charitable | N/A | N/A | Primary |
Frequently Asked Questions
What is REVIVAL REENTRY's NPI number?
REVIVAL REENTRY's NPI number is 1477340735.
Which doctor has NPI number 1477340735?
The doctor with NPI number 1477340735 is REVIVAL REENTRY.
What is REVIVAL REENTRY's practice address?
REVIVAL REENTRY's practice address is 521 CAPPS LN, UKIAH, CA, 954827227.
Which doctor practices at 521 CAPPS LN, UKIAH, CA, 954827227?
REVIVAL REENTRY practices at 521 CAPPS LN, UKIAH, CA, 954827227.
What is REVIVAL REENTRY's phone number?
REVIVAL REENTRY's phone number is (707) 376-5086.
Who is (707) 376-5086?
(707) 376-5086 is the phone number for REVIVAL REENTRY.
What is REVIVAL REENTRY's specialty?
REVIVAL REENTRY's specialty is Voluntary or Charitable Agency.
What type of doctor is REVIVAL REENTRY?
REVIVAL REENTRY is a Voluntary or Charitable Agency.
Is REVIVAL REENTRY a Voluntary or Charitable?
Yes, REVIVAL REENTRY is a Voluntary or Charitable.
Is REVIVAL REENTRY still practicing?
Yes, REVIVAL REENTRY is currently practicing.
Is REVIVAL REENTRY accepting new patients?
REVIVAL REENTRY may be accepting new patients. Please call their office at (707) 376-5086 to inquire about availability.
Is NPI 1477340735 still active?
Yes, NPI 1477340735 is currently active.
Where does REVIVAL REENTRY practice?
REVIVAL REENTRY practices in UKIAH, CA.