1861517005 MOUNTAIN SHADOWS SUPPORT GROUP, INC
Nursing Facility/Intermediate Care Facility
Active
Basic Information
- Organization Name
- MOUNTAIN SHADOWS SUPPORT GROUP, INC
- Enumeration Date
- March 20, 2007
- Last Update
- December 26, 2007
- Authorized Official
- LUPE BRYSON
BUSINESS OFFICE MANAGER
Phone: (760) 743-3714
Practice Location
- Address
- 4840 FAIRHILL PLACE
RIVERSIDE, CA 92026 - Phone
- (760) 743-3714
- Fax
- (760) 743-9937
Mailing Address
- Address
- 2067 W EL NORTE PKWY
ESCONDIDO, CA 920261810 - Phone
- (760) 743-3714
- Fax
- (760) 743-9937
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | Nursing Facility/Intermediate Care Facility | 46989489 | CA | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LTC80158F | 05 | CA | N/A |
| LTC80158G | 05 | CA | N/A |
Frequently Asked Questions
What is MOUNTAIN SHADOWS SUPPORT GROUP, INC's NPI number?
MOUNTAIN SHADOWS SUPPORT GROUP, INC's NPI number is 1861517005.
Which doctor has NPI number 1861517005?
The doctor with NPI number 1861517005 is MOUNTAIN SHADOWS SUPPORT GROUP, INC.
What is MOUNTAIN SHADOWS SUPPORT GROUP, INC's practice address?
MOUNTAIN SHADOWS SUPPORT GROUP, INC's practice address is 4840 FAIRHILL PLACE, RIVERSIDE, CA, 92026.
Which doctor practices at 4840 FAIRHILL PLACE, RIVERSIDE, CA, 92026?
MOUNTAIN SHADOWS SUPPORT GROUP, INC practices at 4840 FAIRHILL PLACE, RIVERSIDE, CA, 92026.
What is MOUNTAIN SHADOWS SUPPORT GROUP, INC's mailing address?
MOUNTAIN SHADOWS SUPPORT GROUP, INC's mailing address is 2067 W EL NORTE PKWY, ESCONDIDO, CA, 920261810.
What is MOUNTAIN SHADOWS SUPPORT GROUP, INC's phone number?
MOUNTAIN SHADOWS SUPPORT GROUP, INC's phone number is (760) 743-3714.
Who is (760) 743-3714?
(760) 743-3714 is the phone number for MOUNTAIN SHADOWS SUPPORT GROUP, INC.
What is MOUNTAIN SHADOWS SUPPORT GROUP, INC's specialty?
MOUNTAIN SHADOWS SUPPORT GROUP, INC's specialty is Nursing Facility/Intermediate Care Facility.
What type of doctor is MOUNTAIN SHADOWS SUPPORT GROUP, INC?
MOUNTAIN SHADOWS SUPPORT GROUP, INC is a Nursing Facility/Intermediate Care Facility.
Is MOUNTAIN SHADOWS SUPPORT GROUP, INC a Nursing Facility/Intermediate Care Facility?
Yes, MOUNTAIN SHADOWS SUPPORT GROUP, INC is a Nursing Facility/Intermediate Care Facility.
Is MOUNTAIN SHADOWS SUPPORT GROUP, INC still practicing?
Yes, MOUNTAIN SHADOWS SUPPORT GROUP, INC is currently practicing.
Is MOUNTAIN SHADOWS SUPPORT GROUP, INC accepting new patients?
MOUNTAIN SHADOWS SUPPORT GROUP, INC may be accepting new patients. Please call their office at (760) 743-3714 to inquire about availability.
Is NPI 1861517005 still active?
Yes, NPI 1861517005 is currently active.
Where does MOUNTAIN SHADOWS SUPPORT GROUP, INC practice?
MOUNTAIN SHADOWS SUPPORT GROUP, INC practices in RIVERSIDE, CA.