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Overview of Shady Glen Facility
- NPI number: 1558967950
- Provider type: Organization
- Active since: 07/19/2009
- Last updated: 07/29/2009
Primary Scrop of Practice
- Taxonomy Code: 261QD1600X
- Specialty: Developmental Disabilities
- License Number: 360911227
- License State: CA
Provider Mailing Address
- Address: 2571 Shady Glen LnSan Bernardino, CA 92408
- Phone: 909-783-8806
- Fax:
Provider Practice Location
- Address: 2571 Shady Glen LnSan Bernardino, CA 92408
- Phone: 909-783-8806
- Fax:
Authorized Official
- Name: MISS Patricia Stone
- Position/Title: Administrator
- Telephone Number: 909-910-9604
Scope of Practice
- Taxonomy Code: 261QD1600X
- Specialty: Developmental Disabilities
- License Number: 360911227
- License State: CA
- Switch: Yes
Question & Answers
- Q: What is the npi number?
- A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
- Q: What are health care provider taxonomy codes?
- A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
- Q: What is the npi number for Shady Glen Facility?
- A: The npi number for Shady Glen Facility is 1003046566.
- Q: What are Shady Glen Facility's specialties?
- A: Shady Glen Facility's specialties are Developmental Disabilities and different specialities.
- Q: Where is Shady Glen Facility business practice location?
- A: Shady Glen Facility business practice location is 2571 Shady Glen Ln, San Bernardino, CA 92408.
- Q: How to contact Shady Glen Facility?
- A: You can contact Shady Glen Facility via 909-783-8806.
- Q: What is the authorized official for Shady Glen Facility?
- A: The authorized office name is MISS Patricia Stone with position/title is Administrator and you can reach the authorized official via phone number 9099109604.