Organization · Type 2 NPI
Canyon Home III
Mental Illness Intermediate Care Facility · Shadow Hills, CA
NPI number
1669527941
Active
Practice location
10712 Artrude St
Shadow Hills, CA 91040-1314
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Intermediate Care Facility Primary | 310500000X | 960001061 (CA) |
Mental Illness Intermediate Care Facility: A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
About NPI 1669527941
Canyon Home III's National Provider Identifier is 1669527941, issued on Jan 24, 2007. The primary taxonomy on file is Mental Illness Intermediate Care Facility (310500000X), and the practice location is in Shadow Hills, CA. The record was last updated on Apr 8, 2024.