Mountain Shadows Support Group
Mountain Shadows Support Group is a Nursing Facility/Intermediate Care Facility in Escondido, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
2067 W El Norte PkwyEscondido, CA 92026-1810
Phone: (760) 743-3714
Fax: (760) 743-9937
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nursing Facility/Intermediate Care Facility (primary) | Taxonomy 313M00000X · Licence 090000253 (CA) |
|---|---|
| Intellectual Disabilities Intermediate Care Facility | Taxonomy 315P00000X · Licence LTC60136I (CA) |
Record details
| NPI number | 1396894291 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lupe Bryson — Business Office Manager · (760) 743-3714 |
| Other names | Mountain Shadows Community Homes-Olive |
| NPI enumerated | January 9, 2007 |
| Last updated in NPPES | November 9, 2011 |
| Mailing address | 2067 W El Norte Pkwy, Escondido, CA 92026-1810 |
Other providers in Escondido
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Ivy Dell Ranch
25119 N Centre City Pkwy, Escondido, CA 92026-8902 · (760) 443-5795
-
Mountain Shadows Support Group
2067 W El Norte Pkwy, Escondido, CA 92026-1810 · (760) 743-3714
-
South Coast Anesthesia
29724 Platanus Dr, Escondido, CA 92026-5936 · (760) 297-1284