The Residences-Fair Oaks
NPI #1902051857 in Fair Oaks, California
Provider Information
- NPI Number
- 1902051857
- Entity Type
- Organization
- Organization Name
- The Residences-Fair Oaks
- Primary Specialty
- Residential Treatment Facility, Physical Disabilities
- Enumeration Date
- Nov 19, 2008
- Last Updated
- Nov 19, 2008
Practice Location
- Address
- 4804 CHICAGO AVE
- City
- Fair Oaks
- State
- California
- ZIP Code
- 95628-5224
- Phone
- (916) 606-8241
Authorized Official
- Name
- MRS. ESTRELLITA DE MESA OLEA, N/A
- Title
- LICENSEE/ADMINISTRATOR
- Phone
- (916) 606-8241
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Physical Disabilities |
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