Organization
SHORE COMMUNITY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OSITA IBE (OWNER/DIRECTOR)
(240) 421-4882
Entity
Organization
Contact information
Practice address
8221 TEAL DR STE 422, EASTON, MD 21601-7212
(240) 264-0000
(410) 630-7557
Mailing address
8221 TEAL DR STE 422, EASTON, MD 21601-7212
(240) 264-0000
(410) 630-7557
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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