Mountain Shadows Support Group
NPI #1992107221 in San Marcos, California
Provider Information
- NPI Number
- 1992107221
- Entity Type
- Organization
- Organization Name
- Mountain Shadows Support Group
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Sep 18, 2014
- Last Updated
- Mar 23, 2016
Practice Location
- Address
- 689 DANE DR
- City
- San Marcos
- State
- California
- ZIP Code
- 92069-5825
- Phone
- (760) 743-3714
Authorized Official
- Name
- WADE WILDE
- Title
- EXECUTIVE DIRECTOR
- Phone
- (760) 743-3714
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
Similar Providers
| Provider Name | |
|---|---|
| Mountain Shadows Support Group, Inc. |  AI Deep Dive |
| Mountain Shadows Support Group, Inc. | AI Deep Dive |
| Villadel INC | AI Deep Dive |
| Genesis Corporation | AI Deep Dive |
| Genesis Corporation | AI Deep Dive |
Want to research this healthcare provider further?