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Organization
SHADOW HOUSING INC
Active
Organization
SHADOW HOUSING INC
Active
Parent organization
ASSISTANCE BY IMPROV LL INC
Other names
Assistance By Improv ll inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASSISTANCE BY IMPROV LL INC
Authorized official
MR. JOE WRIGHT (CEO)
(718) 618-7337
Entity
Organization
Contact information
Practice address
3560 OLINVILLE AVE APT 1F, 2118 WILLLIAMBRIDGE ROAD, BRONX, NY 10467-5533
(718) 618-7337
(646) 401-7420
Mailing address
3560 OLINVILLE AVE APT 1F, 2118 WILLLIAMBRIDGE ROAD, BRONX, NY 10467-5533
(718) 618-7337
(646) 401-7420
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
33335470
NY
176B00000X
Midwife
3333470
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01841010
—
NY
05
—
02197271
—
NY
05
—
02382052
—
NY
05
—
03165299
—
NY
Enumeration date
02/28/2013
Last updated
02/28/2013
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