Organization · Type 2 NPI

Mountain Shadows Support Group, Inc.

Nursing Facility/Intermediate Care Facility · Moreno Valley, CA

NPI number 1215061767 Active

Practice location

25654 Sierra Leone Ct
Moreno Valley, CA 92551-2100

Call (760) 743-3714 Map

Fax (760) 743-9937

Mailing address

Sheila Marie, 2067 W El Norte Pkwy
Escondido, CA 92026-1810

Specialties and licenses

Taxonomy	Code	License
Nursing Facility/Intermediate Care Facility Primary	313M00000X	46989489 (CA)

Nursing Facility/Intermediate Care Facility: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical conditi…

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About NPI 1215061767

Mountain Shadows Support Group, Inc.'s National Provider Identifier is 1215061767, issued on Mar 15, 2007. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Moreno Valley, CA. The record was last updated on Dec 26, 2007.