institution
Canyon Home Iii
Mental Illness Intermediate Care Facility in Shadow Hills, California
NPI 1669527941

Canyon Home Iii is a Mental Illness Intermediate Care Facility based in Shadow Hills, CA. Canyon Home Iii practices in Shadow Hills, CA. The NPI Number for Canyon Home Iii is 1669527941 and holds a License No. 960001061 (California).

The current practice location address for Canyon Home Iii is 10712 Artrude St, Shadow Hills, CA and can be reached out via phone at 818-353-1514.

Location: 10712 Artrude St, Shadow Hills, CA, 91040-1314
institution
Provider Profile Details
NPI Number
1669527941
Provider Name
Canyon Home Iii
Credential
Provider Entity Type
Organization
Address
10712 Artrude St, Shadow Hills, CA, 91040-1314
Phone Number
818-353-1514
Fax Number
Provider Enumeration Date
01/24/2007
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LTC60886F 05 CA
institution
Provider Business Practice Location Address Details
Address
10712 Artrude St
City
State
Zip
91040-1314
Phone Number
818-353-1514
Fax Number
person
Provider Business Mailing Address Details
Address
10712 Artrude St
City
State
Zip
91040-1314
Phone Number
818-353-1514
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mental Illness
Speciality
-
Taxonomy
License No.
960001061 (California)
Definition
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
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