Healthcare Provider Details

I. General information

NPI: 1053224535
Provider Name (Legal Business Name): FORESTVILLE UNION SCHOOL DISTRICT EDUCATIONAL FACILITIES CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6321 HWY 116
FORESTVILLE CA
95436-9614
US

IV. Provider business mailing address

6321 HWY 116
FORESTVILLE CA
95436-9614
US

V. Phone/Fax

Practice location:
  • Phone: 707-887-2279
  • Fax:
Mailing address:
  • Phone: 707-887-2279
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: ISAIAH FITZGERALD-PALACIO
Title or Position: CHIEF BUSINESS OFFICIAL
Credential: MBA
Phone: 707-887-2279