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Revival Home
Assisted Living Facility in Hialeah, Florida
NPI 1700051489

Revival Home is an Assisted Living Facility based in Hialeah, FL. Revival Home practices in Hialeah, FL. The NPI Number for Revival Home is 1700051489 and holds a License No. AL9109 (Florida).

The current practice location address for Revival Home is 68 W 7Th St, Hialeah, FL and can be reached out via phone at 305-887-0808 and via fax at 305-887-3996.

Location: 68 W 7Th St, Hialeah, FL, 33010-4308
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700051489
Provider Name
Revival Home
Credential
Provider Entity Type
Organization
Address
68 W 7Th St, Hialeah, FL, 33010-4308
Phone Number
305-887-0808
Fax Number
305-887-3996
Provider Enumeration Date
04/24/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
140707100 05 FL
institution
Provider Business Practice Location Address Details
Address
68 W 7Th St
City
Hialeah
State
Florida
Zip
33010-4308
Phone Number
305-887-0808
Fax Number
305-887-3996
person
Provider Business Mailing Address Details
Address
68 W 7Th St
City
Hialeah
State
Florida
Zip
33010-4308
Phone Number
305-887-0808
Fax Number
305-887-3996
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
AL9109 (Florida)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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