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Revived Senior Living
Adult Care Home Facility in Mint Hill, North Carolina
NPI 1811631336

Revived Senior Living is an Adult Care Home Facility based in Mint Hill, NC and is specialized in Adult Care Home. Revived Senior Living practices in Mint Hill, NC. The NPI Number for Revived Senior Living is 1811631336 and holds a License No. (North Carolina).

The current practice location address for Revived Senior Living is 7020 Wilson Grove Rd, Mint Hill, NC and can be reached out via phone at 704-361-4187.

Location: 7020 Wilson Grove Rd, Mint Hill, NC, 28227-4352
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811631336
Provider Name
Revived Senior Living
Credential
Provider Entity Type
Organization
Address
7020 Wilson Grove Rd, Mint Hill, NC, 28227-4352
Phone Number
704-361-4187
Fax Number
Provider Enumeration Date
04/21/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1235885203 05 NC
institution
Provider Business Practice Location Address Details
Address
7020 Wilson Grove Rd
City
Mint Hill
State
North Carolina
Zip
28227-4352
Phone Number
704-361-4187
Fax Number
person
Provider Business Mailing Address Details
Address
7020 Wilson Grove Rd
City
Mint Hill
State
North Carolina
Zip
28227-4352
Phone Number
704-361-4187
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
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Definition
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.
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