MOUNTAIN SHADOWS SUPPORT GROUP
Nursing at Dane Dr, San Marcos, CA

License number
California 550003036
Category
Nursing
Type
Intermediate Care Facility, Mentally Retarded
Owner
Name: WADE WILDE
Title: EXECUTIVE DIRECTOR
Phone: (760) 743-3714
Address
Address
689 Dane Dr, San Marcos, CA 92069
National Provider ID: 1992107221
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about MOUNTAIN SHADOWS SUPPORT GROUP at bizstanding.com

Mountain Shadows Support Group

135 Vallecitos De Oro, San Marcos, CA 92069

Registration:
Jul 1, 1988
State ID:
01617561
Business type:
Articles of Incorporation
President:
Richard Marrs (President)
Agent:
Wade Wilde

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