Shady Glen Facility
Shady Glen Facility is a Developmental Disabilities Clinic/Center in San Bernardino, California. Licensed in California. Registered with an NPI since 2009.
- Licensed in
- CA
- In the registry since
- 2009
Practice location Address checks out
2571 Shady Glen LnSan Bernardino, CA 92408-4174
Phone: (909) 783-8806
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Developmental Disabilities Clinic/Center (primary) | Taxonomy 261QD1600X · Licence 360911227 (CA) |
|---|
Record details
| NPI number | 1003046566 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Bridges in Communications, Inc |
| Authorized official | Patricia Stone — Administrator · (909) 910-9604 |
| NPI enumerated | July 19, 2009 |
| Last updated in NPPES | July 29, 2009 |
| Mailing address | 2571 Shady Glen Ln, San Bernardino, CA 92408-4174 |