| Organization Name: | SHORE HEALTH SERVICES, INC |
| NPI Number: | 1114315447 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WALTER W AUSTIN (SENIOR VP/CFO) |
| Mailing Address: | 25379 Lankford Highway Suite A Onley |
| State: | VA US |
| Postal Code: | 23418 |
| Phone Number: | 7577895000 |
| Fax Number: | 7577893556 |
| NPI Enumeration Date: | 01/09/2015 |
| NPI Last Update Date: | 01/05/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |