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Organization
MOCKINGBIRD HEALTHCARE SERVICES LLC
Active
Organization
MOCKINGBIRD HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KADEN YOUNG (CHIEF FINANCIAL OFFICER)
(562) 308-8269
Entity
Organization
Contact information
Practice address
18510 MOCKINGBIRD CANYON RD, RIVERSIDE, CA 92504-9691
(562) 308-8269
Mailing address
18510 MOCKINGBIRD CANYON RD, RIVERSIDE, CA 92504-9691
(562) 308-8269
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
NULL
177F00000X
Lodging Provider
—
NULL
251B00000X
Case Management Agency
—
NULL
251K00000X
Public Health or Welfare Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NULL
385H00000X
Respite Care
Primary
—
NULL
Other
Enumeration date
04/02/2025
Last updated
05/08/2025
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