Provider Demographics
NPI:1184016602
Name:SHU SHANTI 3, INC
Entity Type:Organization
Organization Name:SHU SHANTI 3, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:BINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BHATIA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:626-353-8030
Mailing Address - Street 1:122A E FOOTHILL BLVD # 156
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-2505
Mailing Address - Country:US
Mailing Address - Phone:626-353-8030
Mailing Address - Fax:626-353-8030
Practice Address - Street 1:122A E FOOTHILL BLVD # 156
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-2505
Practice Address - Country:US
Practice Address - Phone:626-353-8030
Practice Address - Fax:626-353-8030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-20
Last Update Date:2015-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility