MOUNTAIN SHADOWS SUPPORT GROUP is an intermediate care facility mentally retarded in San Marcos, CA. The provider is (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. MOUNTAIN SHADOWS SUPPORT GROUP NPI is 1992107221. The provider is registered as an organization entity type.
The provider Is Doing Business As Mtn. Shadows Community Homes- Fig House.
The provider's business location address is:
689 DANE DR
SAN MARCOS, CA
ZIP 92069-825
Phone: (760) 743-3714
Fax: (760) 736-4173
The provider's authorized official is Wade Wilde .
The authorized official title is Executive Director and has the following contact phone number (760) 743-3714.
The enumeration date for this NPI number is 9/18/2014 and was last updated on 3/23/2016.