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Organization
SHORE DIRECT CARE, LLC.
Active
Organization
SHORE DIRECT CARE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JOHNSON (PRESIDENT)
(609) 271-2040
Entity
Organization
Contact information
Practice address
514 S 4TH AVE, GALLOWAY, NJ 08205-9503
(609) 271-2040
Mailing address
PO BOX 601, ABSECON, NJ 08201-0601
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
Other
Enumeration date
05/27/2020
Last updated
05/27/2020
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