Individual
MR. DANTE HENRY SHACKLEFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
85 MIDDLE RD # 1006, HUDSON, NY 12534-4175
(888) 825-9495
Mailing address
85 MIDDLE RD # 1006, HUDSON, NY 12534-4175
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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