MOUNTAIN SHADOWS SUPPORT GROUP, INC is a nursing facility intermediate care facility in Riverside, CA. The provider is 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. MOUNTAIN SHADOWS SUPPORT GROUP, INC NPI is 1588789721. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Special Kids Homes-laurel Park House.
The provider's business location address is:
4870 FAIRHILL PL
RIVERSIDE, CA
ZIP 92509-034
Phone: (760) 743-3714
Fax: (760) 743-9937
The provider's authorized official is Lupe Bryson .
The authorized official title is Business Office Manager and has the following contact phone number (760) 743-3714.
The enumeration date for this NPI number is 3/20/2007 and was last updated on 12/26/2007.