# CORWIN KIDS HEALTHCARE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CORWIN CONGREGATE LIVING
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740736198
- **Authorized official:** SHELLEY LOPEZ (PRESIDENT)
- **Authorized official phone:** (760) 242-5352

## Contact information

- **Practice address:** 18747 CORWIN RD, APPLE VALLEY, CA 92307-2303
- **Practice address phone:** (760) 242-5352
- **Mailing address:** 18747 CORWIN RD, APPLE VALLEY, CA 92307-2303

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | CA | Yes |
| 3140N1450X | Pediatric Skilled Nursing Facility | — | CA | — |

## Other

- **Enumeration date:** 08/26/2016
- **Last updated:** 08/26/2016