Organization
SHAPE SHYFT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAHAAN DAVIS IEP CHAIR (OWNER)
(302) 377-1062
Entity
Organization
Contact information
Practice address
3 KINWALL PL, NOTTINGHAM, MD 21236-3321
(302) 377-1062
Mailing address
3 KINWALL PL, NOTTINGHAM, MD 21236-3321
(302) 377-1062
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
01/29/2026
Last updated
01/29/2026
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