Organization · Type 2 NPI

Jerida Lane Residential Care

Physical Disabilities Residential Treatment Facility · Fair Oaks, CA

NPI number 1154585883 Active

Practice location

8830 Jerida Ln
Fair Oaks, CA 95628-5470

Fax (916) 863-0668

Specialties and licenses

TaxonomyCodeLicense
Physical Disabilities Residential Treatment Facility Primary 320700000X347003312 (CA)

Physical Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.

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About NPI 1154585883

Jerida Lane Residential Care's National Provider Identifier is 1154585883, issued on Jul 11, 2008. The primary taxonomy on file is Physical Disabilities Residential Treatment Facility (320700000X), and the practice location is in Fair Oaks, CA. The record was last updated on Jul 11, 2008.