Revival Recovery Services

LBN: Revival Recovery Services
Revival Recovery Services is an health care organization with primary practice located at 12350 Indian River Dr , Apple Valley CA 92308-6771. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Revival Recovery Services can be contacted via phone (760) 887-1632, or through Perea, Raymond J. via phone (760) 887-1632.

Contact Information

Primary practice address
12350 Indian River Dr Apple Valley CA 92308-6771
Phone: (760) 887-1632
Fax: (760) 961-8173
Website:
Map and Directions
Authorized official contact:
Name: Perea, Raymond J.
Phone: (760) 887-1632

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 360103AN California

Profile Details

NPI number 1962898437
LBN Legal business name Revival Recovery Services
DBA Doing business as
Authorized official Perea, Raymond J.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 12th, 2015
Last updated Jun 26th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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