| Revive Housing Llc | |
|
523 N Long St Salisbury NC 28144-4429 | |
| (281) 217-7857 | |
| Not Available |
| Full Name | Revive Housing Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 523 N Long St, Salisbury, North Carolina |
| Authorized Official Name and Position | Daniel Young (OWNER) |
| Authorized Official Contact | 2812177857 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Housing Llc 323 N Main St Salisbury NC 28144-4301 Ph: (281) 217-7857 | Revive Housing Llc 523 N Long St Salisbury NC 28144-4429 Ph: (281) 217-7857 |
| NPI Number | 1083237986 |
|---|---|
| Provider Enumeration Date | 05/26/2020 |
| Last Update Date | 11/30/2023 |
| Certification Date | 01/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083237986 | NPI | - | NPPES |
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