Shack Transport
NPI #1912475567 in Forked River, New Jersey
Provider Information
- NPI Number
- 1912475567
- Entity Type
- Organization
- Organization Name
- Shack Transport
- Primary Specialty
- Taxi
- Enumeration Date
- Nov 12, 2018
- Last Updated
- Jan 13, 2021
Practice Location
- Address
- 1240 PENSACOLA RD
- City
- Forked River
- State
- New Jersey
- ZIP Code
- 08731-5303
- Phone
- (732) 604-5762
Authorized Official
- Name
- VICTORIA MARIE RAMIREZ DIAZ
- Title
- OWNER
- Phone
- (732) 604-5762
Specialties & Taxonomy Codes
| Specialty |
|---|
| Adult Companion |
| Taxi |
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