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Mountain Shadows Support Group, Inc
Intellectual Disabilities Intermediate Care Facility in Escondido, California
NPI 1982729133

Mountain Shadows Support Group, Inc is a Intellectual Disabilities Intermediate Care Facility based in Escondido, CA. Mountain Shadows Support Group, Inc practices in Escondido, CA. The NPI Number for Mountain Shadows Support Group, Inc is 1982729133 and holds a License No. 46989489 (California).

The current practice location address for Mountain Shadows Support Group, Inc is 2067 W El Norte Pkwy, Escondido, CA and can be reached out via phone at 760-743-3714 and via fax at 760-743-9937.

Location: 2067 W El Norte Pkwy, Escondido, CA, 92026-1810
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1982729133
Provider Name
Mountain Shadows Support Group, Inc
Credential
Provider Entity Type
Organization
Address
2067 W El Norte Pkwy, Escondido, CA, 92026-1810
Phone Number
760-743-3714
Fax Number
760-743-9937
Provider Enumeration Date
03/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LTC60207H 05 CA
institution
Provider Business Practice Location Address Details
Address
2067 W El Norte Pkwy
City
Escondido
State
California
Zip
92026-1810
Phone Number
760-743-3714
Fax Number
760-743-9937
person
Provider Business Mailing Address Details
Address
2067 W El Norte Pkwy
City
Escondido
State
California
Zip
92026-1810
Phone Number
760-743-3714
Fax Number
760-743-9937
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
46989489 (California)
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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