Shady Glen Facility

LBN: Shady Glen Facility
Shady Glen Facility is an health care organization with primary practice located at 2571 Shady Glen Ln , San Bernardino CA 92408-4174. The organization recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as the primary health care specialty. Shady Glen Facility can be contacted via phone (909) 783-8806, or through Stone, Patricia via phone (909) 910-9604.

Contact Information

Primary practice address
2571 Shady Glen Ln San Bernardino CA 92408-4174
Phone: (909) 783-8806
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stone, Patricia
Phone: (909) 910-9604

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X 360911227 California

Profile Details

NPI number 1003046566
LBN Legal business name Shady Glen Facility
DBA Doing business as
Authorized official Stone, Patricia
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 19th, 2009
Last updated Jul 29th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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