SHAISTA ANSARI
Individual Provider (NPI-1)
Active
Assisted Living Facility
Provider Information
- NPI Number
1588282974- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 13816 NATHAN PL, MORENO VALLEY, CA, 925555609
- Phone
- (951) 242-8875
Specialties & Taxonomies
Assisted Living Facility
Primary License: CA #331800166