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Health Care Facilities in California

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Here you can find all the California healthcare facilities that are operational and have a current license issued by the California Department of Public Health and/or a current U.S. Department of Health and Human Services’ Centers for Medicare and Medicaid Services (CMS) certification. (Source: Center for Health Care Quality, California Department of Public Health. 2018. HealthcareFacilities-California_2018-09-05-CA-CDPH).


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Mountain Shadows Special Kids Homes-Maverick House - Health Care Facilities in California

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Facility Administrator's Fax Number(760) 736-4173
Facility Administrator's Phone Number(951) 685-0799
CountyRIVERSIDE
District Office That Oversees The FacilityRIVERSIDE
License Number250000539
Business NameMOUNTAIN SHADOWS SUPPORT GROUP
Initial License Date7-Feb-94
License Effective Date23-May-19
License Expiration Date22-May-20
Entity TypeNONPROFIT CORP
Street Number8163
Street NameLAUREL PARK CIR
Local Health Jurisdiction NameRIVERSIDE
Fips County Code065
Facility Identification #250001290
Health Care Facility NameMOUNTAIN SHADOWS SPECIAL KIDS HOMES-MAVERICK HOUSE
Facility TypeINTERMEDIATE CARE FACILITY-DD/H/N/CN/IID
Capacity (Number Or Licensed Beds)6
Address8163 LAUREL PARK CIR
CityRIVERSIDE
Zip92509
Zip94075
Facility AdministratorWALLACE, FAITH
Facility Administrator's E-MailSSULLIVAN@MTNSHADOWS.ORG
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