Organization
SHADY GLEN FACILITY
Active
Organization
SHADY GLEN FACILITY
Active
Parent organization
BRIDGES IN COMMUNICATIONS, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRIDGES IN COMMUNICATIONS, INC
Authorized official
MISS PATRICIA STONE (ADMINISTRATOR)
(909) 910-9604
Entity
Organization
Contact information
Practice address
2571 SHADY GLEN LN, SAN BERNARDINO, CA 92408-4174
(909) 783-8806
Mailing address
2571 SHADY GLEN LN, SAN BERNARDINO, CA 92408-4174
(909) 783-8806
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
360911227
CA
Other
Enumeration date
07/19/2009
Last updated
07/29/2009
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