Individual provider · Type 1 NPI
Shaista Ansari
Assisted Living Facility · Moreno Valley, CA
NPI number
1588282974
Active
Practice location
13816 Nathan Pl
Moreno Valley, CA 92555-5609
Mailing address
5084 Sagewood Dr
Rancho Cucamonga, CA 91739-5138
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 331800166 (CA) |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Other assisted living facility providers in Moreno Valley
About NPI 1588282974
Shaista Ansari's National Provider Identifier is 1588282974, issued on Jul 11, 2020. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Moreno Valley, CA. The record was last updated on Jul 11, 2020.