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South Capitol Cottage Inc
Nursing Facility/Intermediate Care Facility in Adelanto, California
NPI 1912050956

South Capitol Cottage Inc is a Nursing Facility/Intermediate Care Facility based in Colton, CA. South Capitol Cottage Inc practices in Adelanto, CA. The NPI Number for South Capitol Cottage Inc is 1912050956 and holds a License No. (California).

The current practice location address for South Capitol Cottage Inc is 15054 Daisy Rd, Adelanto, CA and can be reached out via phone at 951-662-3026.

Location: 15054 Daisy Rd, Adelanto, CA, 92324-6248
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912050956
Provider Name
South Capitol Cottage Inc
Credential
Provider Entity Type
Organization
Address
15054 Daisy Rd, Adelanto, CA, 92324-6248
Phone Number
951-662-3026
Fax Number
Provider Enumeration Date
01/21/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6310014738 05 CA
institution
Provider Business Practice Location Address Details
Address
15054 Daisy Rd
City
Adelanto
State
California
Zip
92301-4824
Phone Number
951-662-3026
Fax Number
person
Provider Business Mailing Address Details
Address
15054 Daisy Rd
City
Adelanto
State
California
Zip
92301-4824
Phone Number
951-662-3026
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
()
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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