# SHOREHAVEN, INC.

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

## Provider details

- **NPI number:** 1558405423
- **Authorized official:** BRENDA MACK-BOWMAN (CSCRP EDUCATION SPECIALIST)
- **Authorized official phone:** (302) 735-4071

## Contact information

- **Practice address:** 1040 SINGERLY RD, ELKTON, MD 21921-4932
- **Practice address phone:** (410) 398-9850
- **Mailing address:** 1040 SINGERLY RD, ELKTON, MD 21921-4932

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 02/16/2007
- **Last updated:** 08/22/2020