Shady Rest Residential Facility

LBN: Shady Rest Residential Facility
Shady Rest Residential Facility is an health care organization with primary practice located at 343 Texas Ave , Mt Laurel NJ 08054-0805. The organization recently has only one registered license in Agencies / In Home Supportive Care, which is considered as the primary health care specialty. Shady Rest Residential Facility can be contacted via phone (856) 668-6610, or through Young, Dioun via phone (856) 668-6610.

Contact Information

Primary practice address
343 Texas Ave Mt Laurel NJ 08054-0805
Phone: (856) 668-6610
Fax: (856) 668-6610
Website:
Map and Directions
Authorized official contact:
Name: Young, Dioun
Phone: (856) 668-6610

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1003321654
LBN Legal business name Shady Rest Residential Facility
DBA Doing business as
Authorized official Young, Dioun
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2017
Last updated Dec 5th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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