| Organization Name: | SHORELINE MEDICAL INC |
| NPI Number: | 1205224805 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALEENA N PARAGAS (PRESIDENT) |
| Mailing Address: | 701 Ford Rd Suite 8 Rockaway |
| State: | NJ US |
| Postal Code: | 078662053 |
| Phone Number: | 9739315325 |
| Fax Number: | 7322834020 |
| NPI Enumeration Date: | 01/05/2015 |
| NPI Last Update Date: | 01/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 100724 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |