Revival Reentry
Revival Reentry is a Meals Provider in Ukiah, California. Registered with an NPI since 2025.
- In the registry since
- 2025
- Specialties on file
- 7
Practice location Address checks out
521 Capps LnUkiah, CA 95482-7227
Phone: (707) 376-5086
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Voluntary or Charitable Agency (primary) | Taxonomy 251V00000X |
|---|---|
| Meals Provider | Taxonomy 174200000X |
| Lodging Provider | Taxonomy 177F00000X |
| Local Education Agency (LEA) | Taxonomy 251300000X |
| Case Management Agency | Taxonomy 251B00000X |
| Community/Behavioral Health Agency | Taxonomy 251S00000X |
| In Home Supportive Care Agency | Taxonomy 253Z00000X |
Record details
| NPI number | 1477340735 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ashley Elliott — President/Ceo · (707) 376-5086 |
| NPI enumerated | April 21, 2025 |
| Last updated in NPPES | April 21, 2025 |
| Certification date | April 21, 2025 |
| Mailing address | 521 Capps Ln, Ukiah, CA 95482-7227 |