Nimfa Realeza Punzalan in Fairfield - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Nimfa Realeza Punzalan - NPI 1902017064
Nimfa Realeza Punzalan is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Fairfield, California. Nimfa Realeza Punzalan practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Nimfa Realeza Punzalan is 1902017064. The last update date is 2007-07-08.
Nimfa Realeza Punzalan's current location address is 3313 El Pinole Way, Fairfield, California. You can contact this provider via phone number 7074252202 and fax number 7074256060. The mailing address for Nimfa Realeza Punzalan is 3313 El Pinole Way, Fairfield, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nimfa Realeza Punzalan |
|---|---|
| Address | 3313 El Pinole Way, Fairfield, California |
| Phone Number | 7074252202 |
| Fax Number | 7074256060 |
| Sole Proprietor | Y |
| Credentials | REGISTERED |
NPI Number Detail
| NPI Number | 1902017064 |
|---|---|
| Provider Enumeration Date | 2007-05-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3313 El Pinole Way |
|---|---|
| City | Fairfield |
| State | California (CA) |
| Post Code | 945337208 |
| Phone Number | 7074252202 |
| Fax Number | 7074256060 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
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Definition: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| LTC61010F | CA | PROVIDER IDENTIFICATION # |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Nimfa Realeza Punzalan by the Centers for Medicare & Medicaid Services?
The Nimfa Realeza Punzalan has been assigned the NPI (National Provider Identifier) 1902017064 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Nimfa Realeza Punzalan located?
The Nimfa Realeza Punzalan is located at 3313 El Pinole Way, Fairfield, CA 945337208.
What is Nimfa Realeza Punzalan's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Nimfa Realeza Punzalan is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy classification code for this specialized field is 320600000X.
When did the Nimfa Realeza Punzalan receive its 1902017064?
The Nimfa Realeza Punzalan was issued its 1902017064 on 2007-05-24, which is the date when the organization was assigned this unique identifier.
When was the information regarding Nimfa Realeza Punzalan, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Nimfa Realeza Punzalan, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.