Organization · Type 2 NPI

Mountain Shadows Support Group

Intellectual Disabilities Intermediate Care Facility · Escondido, CA

NPI number 1346365590 Active

Practice location

2067 W El Norte Pkwy
Escondido, CA 92026-1810

Call (760) 743-3714 Map

Fax (760) 743-9937

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility 313M00000XNone listed
Intellectual Disabilities Intermediate Care Facility Primary 315P00000X46989489 (CA)

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

15 other providers at this address

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About NPI 1346365590

Mountain Shadows Support Group's National Provider Identifier is 1346365590, issued on Mar 20, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Escondido, CA. The record was last updated on Jul 24, 2019.