| Doctor Name: | MISS SHATAYA M CRAWLEY |
| NPI Number: | 1730553090 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 47-5618106 |
| Business Practice Address: | 793 Woodlane Rd Edgewater Park, NJ - 080101901 |
| Business Phone Number: | 6092845969 |
| Business Fax Number: | |
| Mailing Address: | 793 Woodlane Rd, EDGEWATER PARK |
| State: | NJ |
| Postal Code: | 080101901 |
| Phone Number: | 6092845969 |
| Fax Number: | |
| NPI Enumeration Date: | 11/23/2015 |
| NPI Last Update Date: | 11/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 47-5618106 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |