# SHORE PROFESSIONAL SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285801399
- **Authorized official:** ELMER SONZA SADIANG-ABAY APRN-BC (ADULT NURSE PRACTITIONER)
- **Authorized official phone:** (732) 557-0379

## Contact information

- **Practice address:** 1354 FOREST GLEN CT, TOMS RIVER, NJ 08755-1386
- **Practice address phone:** (732) 557-0379
- **Mailing address:** 1354 FOREST GLEN CT, TOMS RIVER, NJ 08755-1386
- **Mailing address phone:** (732) 557-0379

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 0400140258 | NJ | Yes |

## Other

- **Enumeration date:** 05/08/2008
- **Last updated:** 05/08/2008