Individual provider · Type 1 NPI
Deane Jeffrey Dejaresco
Adult Care Home Facility · Elk Grove, CA
NPI number
1467398693
Active
Practice location
10070 Knotts Dr
Elk Grove, CA 95757-1729
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | 342701360 (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.
Another provider at this address
About NPI 1467398693
Deane Jeffrey Dejaresco's National Provider Identifier is 1467398693, issued on Apr 28, 2026. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Elk Grove, CA. The record was last updated on Apr 28, 2026.