MR. Eugenio Fajardo Reyes is an intermediate care facility mentally retarded in Lodi, CA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. MR. Eugenio Fajardo Reyes NPI is 1619132198. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
3261 W SARGENT RD
LODI, CA
ZIP 95242-212
Phone: (925) 963-7957
Fax: (209) 369-7010
The enumeration date for this NPI number is 7/23/2008 and was last updated on 7/23/2008.