Organization
BUTTERFLYS-3
Active
Parent organization
SHURE SHOCK SECURITY MATES USA LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHURE SHOCK SECURITY MATES USA LLC
Authorized official
MS. LEVI M ANDINO CNA,CHHA (OWNER)
(848) 299-2669
Entity
Organization
Contact information
Practice address
118B BUCKINGHAM DR, LAKEWOOD, NJ 08701-6399
(848) 299-2669
Mailing address
118B BUCKINGHAM DR, LAKEWOOD, NJ 08701-6399
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
26NH04551900
NJ
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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