Organization
SHADELINE SPECIALTY LOGISTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TANYA L SHADE (PRESIDENT)
(704) 940-0732
Entity
Organization
Contact information
Practice address
10926 QUALITY DR UNIT 38993, CHARLOTTE, NC 28278-8878
(704) 940-0732
(704) 940-0792
Mailing address
10926 QUALITY DR UNIT 38993, CHARLOTTE, NC 28278-8878
(704) 940-0732
(704) 940-0792
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
342000000X
Transportation Network Company
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
11/19/2025
Last updated
11/19/2025
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