Shady Rest Residential Facility
NPI #1003321654 in Mt Laurel, New Jersey
Provider Information
- NPI Number
- 1003321654
- Entity Type
- Organization
- Organization Name
- Shady Rest Residential Facility
- Primary Specialty
- In Home Supportive Care
- Enumeration Date
- Dec 5, 2017
- Last Updated
- Dec 5, 2017
Practice Location
- Address
- 343 TEXAS AVE
- City
- Mt Laurel
- State
- New Jersey
- ZIP Code
- 08054-0805
- Phone
- (856) 668-6610
Authorized Official
- Name
- DIOUN YOUNG
- Title
- OWNER
- Phone
- (856) 668-6610
Specialties & Taxonomy Codes
| Specialty |
|---|
| In Home Supportive Care |
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