Organization
MAPLE SHADE YOUTH AND FAMILY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIRU JANI MD (CHIEF ADMINISTRATOR)
(410) 740-7400
Entity
Organization
Contact information
Practice address
23704 OCEAN GTWY, MARDELA SPRINGS, MD 21837-2101
(410) 742-7400
(410) 742-6452
Mailing address
23704 OCEAN GTWY, MARDELA SPRINGS, MD 21837-2101
(410) 742-7400
(410) 742-6452
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
1709
MD
385H00000X
Respite Care
MH-979
MD
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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