Organization
QUEENSHADE LLC
Active
Other names
Queenshade
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FOLASHADE E ADEBIYI RN (DIRECTOR)
(908) 656-4387
Entity
Organization
Contact information
Practice address
1200 CLINTON AVE STE 100C1, IRVINGTON, NJ 07111-2070
(862) 576-3281
Mailing address
33 RICH ST, IRVINGTON, NJ 07111-2020
(908) 656-4387
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/05/2020
Last updated
01/12/2025
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