Shaista Ansari
Shaista Ansari is an Assisted Living Facility in Moreno Valley, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2020
Practice location Address checks out
13816 Nathan PlMoreno Valley, CA 92555-5609
Phone: (951) 242-8875
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Specialties & licences
| Assisted Living Facility (primary) | Taxonomy 310400000X · Licence 331800166 (CA) |
|---|
Record details
| NPI number | 1588282974 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 11, 2020 |
| Last updated in NPPES | July 11, 2020 |
| Certification date | July 11, 2020 |
| Mailing address | 5084 Sagewood Dr, Rancho Cucamonga, CA 91739-5138 |
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