Organization
QUEENSHADE LLC
Active
Other names
Queenshade
Organization subpart
No
Provider details
NPI number
Authorized official
FOLASHADE ADEBIYI RN (SUPERVISOR)
(862) 576-3281
Entity
Organization
Contact information
Practice address
727 S 19TH ST, NEWARK, NJ 07103-1032
(862) 576-3281
Mailing address
33 RICH ST, IRVINGTON, NJ 07111-2020
(862) 576-3281
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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