Individual provider · Type 1 NPI
Jeffrey A. Stewart, DO
Adult Care Home Facility · Citrus Heights, CA
NPI number
1104551720
Active
Practice location
7733 Gingerblossom Dr
Citrus Heights, CA 95621-1919
Fax (916) 745-4664
Mailing address
PO Box 582165
Elk Grove, CA 95758-0037
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | 85-2000467 (CA) |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
About NPI 1104551720
Jeffrey A. Stewart, DO's National Provider Identifier is 1104551720, issued on Jul 18, 2022. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Citrus Heights, CA. The record was last updated on Jul 18, 2022.