Mountain Shadows Support Group
NPI #1326430711 in Jurupa Valley, California
Provider Information
- NPI Number
- 1326430711
- Entity Type
- Organization
- Organization Name
- Mountain Shadows Support Group
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- Feb 23, 2015
- Last Updated
- Feb 23, 2015
Practice Location
- Address
- 4880 BROOKHILL TER
- City
- Jurupa Valley
- State
- California
- ZIP Code
- 92509-4047
- Phone
- (760) 743-3714
Authorized Official
- Name
- WADE WILDE
- Title
- EXECUTIVE DIRECTOR
- Phone
- (760) 743-3714
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
Similar Providers
| Provider Name | |
|---|---|
| Mountain Shadows Support Group | |
| Grancell Village of the Los Angeles Jewish Home for the Aging | |
| Eisenberg Village of the Los Angeles Jewish Home for the Aging | |
| Wdw Joint Venture | |
| Chancellor Health Care of Ca |
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