# BET SHALOM HOUSING & HAVEN CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114857547
- **Authorized official:** PATRICIA VIOLA GERARD (BUSINESS OWNER)
- **Authorized official phone:** (678) 396-0120

## Contact information

- **Practice address:** 416 PRESTON CREEK DR, MCDONOUGH, GA 30253-8983
- **Practice address phone:** (678) 396-0120
- **Mailing address:** 416 PRESTON CREEK DR, MCDONOUGH, GA 30253-8983
- **Mailing address phone:** (678) 396-0120

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1710I1003X | Independent Duty Medical Technicians | — | NULL | Yes |
| 1710I1003X | Independent Duty Medical Technicians | — | — | Yes |

## Other

- **Enumeration date:** 05/19/2026
- **Last updated:** 05/19/2026