MR. EUGENIO FAJARDO REYES NPI 1619132198

NPI Information

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.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.