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Shaista Ansari
Assisted Living Facility in Moreno Valley, California
NPI 1588282974

Shaista Ansari is an Assisted Living Facility based in Rancho Cucamonga, CA. Shaista Ansari practices in Moreno Valley, CA. The NPI Number for Shaista Ansari is 1588282974 and holds a License No. 331800166 (California).

The current practice location address for Shaista Ansari is 13816 Nathan Pl, Moreno Valley, CA and can be reached out via phone at 951-242-8875.

Location: 13816 Nathan Pl, Moreno Valley, CA, 91739-5138
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588282974
Provider Name
Shaista Ansari
Credential
Provider Entity Type
Individual
Gender
Female
Address
13816 Nathan Pl, Moreno Valley, CA, 91739-5138
Phone Number
951-242-8875
Fax Number
Provider Enumeration Date
07/11/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
13816 Nathan Pl
City
Moreno Valley
State
California
Zip
92555-5609
Phone Number
951-242-8875
Fax Number
person
Provider Business Mailing Address Details
Address
13816 Nathan Pl
City
Moreno Valley
State
California
Zip
92555-5609
Phone Number
951-242-8875
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
331800166 (California)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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