institution
Mountain Shadows Support Group
Intellectual Disabilities Intermediate Care Facility in Jurupa Valley, California
NPI 1104280361

Mountain Shadows Support Group is a Intellectual Disabilities Intermediate Care Facility based in San Marcos, CA. Mountain Shadows Support Group practices in Jurupa Valley, CA. The NPI Number for Mountain Shadows Support Group is 1104280361 and holds a License No. (California).

The current practice location address for Mountain Shadows Support Group is 4287 Garth St, Jurupa Valley, CA and can be reached out via phone at 760-743-3714.

Location: 4287 Garth St, Jurupa Valley, CA, 92069-1473
institution
Provider Profile Details
NPI Number
1104280361
Provider Name
Mountain Shadows Support Group
Credential
Provider Entity Type
Organization
Address
4287 Garth St, Jurupa Valley, CA, 92069-1473
Phone Number
760-743-3714
Fax Number
Provider Enumeration Date
04/13/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4287 Garth St
City
State
Zip
92509-3316
Phone Number
760-743-3714
Fax Number
person
Provider Business Mailing Address Details
Address
4287 Garth St
City
State
Zip
92509-3316
Phone Number
760-743-3714
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
License No.
()
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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