Provider Demographics
NPI:1164607743
Name:SHORE STAFFING, INC.
Entity Type:Organization
Organization Name:SHORE STAFFING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BURKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-957-2800
Mailing Address - Street 1:3109 FAIR ISLAND LN
Mailing Address - Street 2:
Mailing Address - City:MARION STATION
Mailing Address - State:MD
Mailing Address - Zip Code:21838-2461
Mailing Address - Country:US
Mailing Address - Phone:410-957-2800
Mailing Address - Fax:410-957-1690
Practice Address - Street 1:3109 FAIR ISLAND LN
Practice Address - Street 2:
Practice Address - City:MARION STATION
Practice Address - State:MD
Practice Address - Zip Code:21838-2461
Practice Address - Country:US
Practice Address - Phone:410-957-2800
Practice Address - Fax:410-957-1690
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-02
Last Update Date:2008-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDSA-02084251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care