Organization
SHOREHAVEN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA MACK-BOWMAN (CSCRP EDUCATION SPECIALIST)
(302) 735-4071
Entity
Organization
Contact information
Practice address
1040 SINGERLY RD, ELKTON, MD 21921-4932
(410) 398-9850
Mailing address
1040 SINGERLY RD, ELKTON, MD 21921-4932
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/16/2007
Last updated
08/22/2020
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