Shaista Ansari
Assisted Living Facility in Moreno Valley, CA. Individual provider (NPI-1).
NPI number1588282974
StatusActive
Last updated in NPPESJul 11, 2020
Details
- NPI
- 1588282974
- Entity type
- Individual (NPI-1)
- Name
- Shaista Ansari
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 11, 2020
- Certification date
- Jul 11, 2020
- Last updated
- Jul 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | 331800166 | CA | Yes |
Practice location
13816 Nathan PlMoreno Valley, CA 92555-5609
Phone 951-242-8875
Mailing address
5084 Sagewood DrRancho Cucamonga, CA 91739-5138
Phone 909-921-9299
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All 35 Assisted Living Facility providers in Moreno Valley · All 3,435 providers in Moreno Valley
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