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Organization
MONTELAGO MOUNTAIN, LLC
Active
Organization
MONTELAGO MOUNTAIN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYLVIE BOAL (COMPLIANCE)
(909) 992-1080
Entity
Organization
Contact information
Practice address
7528 HAYSTACK LOOP, RIVERSIDE, CA 92507-9601
(909) 992-1080
(909) 992-1080
Mailing address
7528 HAYSTACK LOOP, RIVERSIDE, CA 92507-9601
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
09/14/2026
Last updated
09/14/2026
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