Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Voluntary or Charitable |
251V00000X | 61 | Voluntary Health or Charitable Agency[1] |
| NPI Number | 1053556936 |
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| LBN Legal business name | SHANG'S GARDEN, INC | ||||
| Authorized official | REBECCA DONALDSON - (DIRECTOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 12/08/2008 | ||||
| Last updated | 12/08/2008 - About 17 years ago | ||||
| Identifiers |
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