Organization · Type 2 NPI

Mountain Shadows Support Group

Nursing Facility/Intermediate Care Facility · Jurupa Valley, CA

NPI number 1326430711 Active

Practice location

4880 Brookhill Ter
Jurupa Valley, CA 92509-4047

Mailing address

970 Los Vallecitos Blvd, Suite 240
San Marcos, CA 92069-1473

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility Primary 313M00000XNone listed

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 1326430711

Mountain Shadows Support Group's National Provider Identifier is 1326430711, issued on Feb 23, 2015. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Jurupa Valley, CA. The record was last updated on Feb 23, 2015.