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Organization

QUEENSHADE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FOLASHADE ESTHER ADEBIYI (DIRECTOR)
(862) 576-3281
Entity
Organization

Contact information

Practice address
1200 CLINTON AVE STE 100C, IRVINGTON, NJ 07111-2070
(862) 576-3281
Mailing address
33 RICH ST, IRVINGTON, NJ 07111-2020
(862) 576-3281

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
251X00000X
Supports Brokerage Agency
Primary

Other

Enumeration date
01/07/2025
Last updated
12/10/2025
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