Queenshade LLC
NPI #1346864212 in Irvington, New Jersey
Provider Information
- NPI Number
- 1346864212
- Entity Type
- Organization
- Organization Name
- Queenshade LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jun 5, 2020
- Last Updated
- Jan 12, 2025
Practice Location
- Address
- 1200 CLINTON AVE STE 100C1
- City
- Irvington
- State
- New Jersey
- ZIP Code
- 07111-2070
- Phone
- (862) 576-3281
Authorized Official
- Name
- MRS. FOLASHADE E ADEBIYI, RN
- Title
- DIRECTOR
- Phone
- (908) 656-4387
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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