Eugenio Fajardo Reyes in Lodi - Intermediate Care Facility, Intellectual Disabilities
Eugenio Fajardo Reyes - NPI 1619132198
Eugenio Fajardo Reyes is a Intermediate Care Facility, Intellectual Disabilities in Lodi, California. Eugenio Fajardo Reyes practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Eugenio Fajardo Reyes is 1619132198. The last update date is 2008-07-23.
Eugenio Fajardo Reyes's current location address is 3261 W Sargent Rd, Lodi, California. You can contact this provider via phone number 9259637957 and fax number 2093697010. The mailing address for Eugenio Fajardo Reyes is 3261 W Sargent Rd, Lodi, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eugenio Fajardo Reyes |
|---|---|
| Address | 3261 W Sargent Rd, Lodi, California |
| Phone Number | 9259637957 |
| Fax Number | 2093697010 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1619132198 |
|---|---|
| Provider Enumeration Date | 2008-07-23 |
| Last Updated Date | 2008-07-23 |
Provider Mailing Address Detail
| Address | 3261 W Sargent Rd |
|---|---|
| City | Lodi |
| State | California (CA) |
| Post Code | 952429212 |
| Phone Number | 9259637957 |
| Fax Number | 2093697010 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | PENDING |
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Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
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What is the Eugenio Fajardo Reyes's unique identification number?
The Eugenio Fajardo Reyes has been assigned the NPI (National Provider Identifier) Number 1619132198 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Eugenio Fajardo Reyes located?
The Eugenio Fajardo Reyes is located at 3261 W Sargent Rd, Lodi, CA 952429212.
What is the Eugenio Fajardo Reyes's area of specialization and corresponding taxonomy classification?
The Eugenio Fajardo Reyes's specialty field is Intermediate Care Facility, Intellectual Disabilities, and it falls under the taxonomy code 315P00000X, which categorizes healthcare providers based on their specialties.
On what date did the Eugenio Fajardo Reyes receive its 1619132198 assignment from the Centers for Medicare & Medicaid Services?
The Eugenio Fajardo Reyes was assigned its 1619132198 by the Centers for Medicare & Medicaid Services on 2008-07-23.
When was the information pertaining to Eugenio Fajardo Reyes most recently updated or revised?
The details related to Eugenio Fajardo Reyes, including its address, specialty, and other relevant information, were last updated or revised on 2008-07-23.