Organization · Type 2 NPI
Mountain Shadows Support Group, Inc.
Intellectual Disabilities Intermediate Care Facility · San Marcos, CA
NPI number
1003931262
Active
Practice location
600 Rose Ct
San Marcos, CA 92069-5828
Fax (760) 743-9937
Mailing address
2067 W El Norte Pkwy
Escondido, CA 92026-1810
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 46989489 (CA) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
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About NPI 1003931262
Mountain Shadows Support Group, Inc.'s National Provider Identifier is 1003931262, issued on Mar 20, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in San Marcos, CA. The record was last updated on Aug 22, 2020.