location
search-icon
person
Mr. Eugenio Fajardo Reyes
Intellectual Disabilities Intermediate Care Facility in Lodi, California
NPI 1619132198

Eugenio Fajardo Reyes is a Intellectual Disabilities Intermediate Care Facility based in Lodi, CA. Eugenio Fajardo Reyes practices in Lodi, CA. The NPI Number for Eugenio Fajardo Reyes is 1619132198 and holds a License No. PENDING (California).

The current practice location address for Eugenio Fajardo Reyes is 3261 W Sargent Rd, Lodi, CA and can be reached out via phone at 925-963-7957 and via fax at 209-369-7010.

Location: 3261 W Sargent Rd, Lodi, CA, 95242-9212
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619132198
Provider Name
Eugenio Fajardo Reyes
Credential
Provider Entity Type
Individual
Gender
Male
Address
3261 W Sargent Rd, Lodi, CA, 95242-9212
Phone Number
925-963-7957
Fax Number
209-369-7010
Provider Enumeration Date
07/23/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3261 W Sargent Rd
City
Lodi
State
California
Zip
95242-9212
Phone Number
925-963-7957
Fax Number
209-369-7010
person
Provider Business Mailing Address Details
Address
3261 W Sargent Rd
City
Lodi
State
California
Zip
95242-9212
Phone Number
925-963-7957
Fax Number
209-369-7010
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
PENDING (California)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.