Mountain Shadows Support Group

NPI #1932563194 in Jurupa Valley, California

Provider Information

NPI Number
1932563194
Entity Type
Organization
Organization Name
Mountain Shadows Support Group
Primary Specialty
Nursing Facility/Intermediate Care Facility
Enumeration Date
Apr 13, 2016
Last Updated
May 6, 2016

Practice Location

Address
7719 JOSHUA RD.
ZIP Code
92509-3317
Phone
(760) 743-3714

Authorized Official

Name
LUPE BRYSON
Title
BUSINESS OFFICE MANAGER
Phone
(760) 743-3714

Specialties & Taxonomy Codes

Specialty
Nursing Facility/Intermediate Care Facility

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