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Organization
CORWIN KIDS HEALTHCARE INC
Active
Organization
CORWIN KIDS HEALTHCARE INC
Active
Other names
CORWIN CONGREGATE LIVING
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY LOPEZ (PRESIDENT)
(760) 242-5352
Entity
Organization
Contact information
Practice address
18747 CORWIN RD, APPLE VALLEY, CA 92307-2303
(760) 242-5352
Mailing address
18747 CORWIN RD, APPLE VALLEY, CA 92307-2303
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
3140N1450X
Pediatric Skilled Nursing Facility
—
CA
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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