NPI 1154585883

Jerida Lane Residential Care

Organisation Physical Disabilities Residential Treatment Facility Fair Oaks, CA

Practice location

Address: 8830 Jerida Ln, Fair Oaks, CA 95628-5470
Phone: (916) 606-8241
Fax: (916) 863-0668

Authorised official

Name: Estrellita de Mesa Olea
Title: Licensee/Administrator
Phone: (916) 606-8241

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence 347003312 (CA)

Other Residential Treatment Facility, Physical Disabilities providers in California →

Registry record

NPI: 1154585883
Entity type: Organization
NPI issued: 11 Jul 2008
Record last updated: 11 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.