Organization · Type 2 NPI

Mountain Shadows Support Group, Inc

Nursing Facility/Intermediate Care Facility · Riverside, CA

NPI number 1861517005 Active

Practice location

4840 Fairhill Place
Riverside, CA 92026

Call (760) 743-3714 Map

Fax (760) 743-9937

Mailing address

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…

Other nursing facility/intermediate care facility providers in Riverside

See all in Riverside →

About NPI 1861517005

Mountain Shadows Support Group, Inc's National Provider Identifier is 1861517005, issued on Mar 20, 2007. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Riverside, CA. The record was last updated on Dec 26, 2007.