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Shady Glen Facility
Developmental Disabilities Clinic/Center in San Bernardino, California
NPI 1003046566

Shady Glen Facility is a Developmental Disabilities Clinic/Center based in San Bernardino, CA and is specialized in Developmental Disabilities. Shady Glen Facility practices in San Bernardino, CA. The NPI Number for Shady Glen Facility is 1003046566 and holds a License No. 360911227 (California).

The current practice location address for Shady Glen Facility is 2571 Shady Glen Ln, San Bernardino, CA and can be reached out via phone at 909-783-8806. You can also correspond with Shady Glen Facility through the mailing address at 2571 SHADY GLEN LN, SAN BERNARDINO, CA - 92408-4174 (mailing address contact number: 909-783-8806).

Location: 2571 Shady Glen Ln, San Bernardino, CA, 92408-4174
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003046566
Provider Name
Shady Glen Facility
Credential
Provider Entity Type
Organization
Address
2571 Shady Glen Ln, San Bernardino, CA, 92408-4174
Phone Number
909-783-8806
Fax Number
Provider Enumeration Date
07/19/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2571 Shady Glen Ln
City
San Bernardino
State
California
Zip
92408-4174
Phone Number
909-783-8806
Fax Number
person
Provider Business Mailing Address Details
Address
2571 Shady Glen Ln
City
San Bernardino
State
California
Zip
92408-4174
Phone Number
909-783-8806
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
360911227 (California)
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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