Organization
SHACK TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA MARIE RAMIREZ DIAZ (OWNER)
(732) 604-5762
Entity
Organization
Contact information
Practice address
1240 PENSACOLA RD, FORKED RIVER, NJ 08731-5303
(732) 604-5762
Mailing address
1240 PENSACOLA RD, FORKED RIVER, NJ 08731-5303
(732) 604-5762
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
11/12/2018
Last updated
01/13/2021
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