| NPI | 1811552086 |
|---|---|
| Doing Business As | SHADOWRIDGE SENIOR LIVING |
| Entity Type | Organization |
| Authorized Contact | SCOTT KIRBY Manager 760-295-3888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2019-05-03 |
| Last Update Date | 2023-04-26 |