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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