Provider Demographics
NPI:1023343639
Name:SHAFIR ENTERPRISES,LLC
Entity type:Organization
Organization Name:SHAFIR ENTERPRISES,LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:MAXIMILIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAFIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-672-4374
Mailing Address - Street 1:208 LANCASTER DRIVE
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517
Mailing Address - Country:US
Mailing Address - Phone:919-942-7176
Mailing Address - Fax:919-313-8618
Practice Address - Street 1:208 LANCASTER DR
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-3429
Practice Address - Country:US
Practice Address - Phone:919-942-7176
Practice Address - Fax:919-313-8618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-15
Last Update Date:2009-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services