# SHALOM HEALTHCARE SERVICES LLC

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

## Provider details

- **NPI number:** 1528471711
- **Authorized official:** GEORGES WILLIAM N NTEMI (DIRECTOR)
- **Authorized official phone:** (301) 938-3750

## Contact information

- **Practice address:** 15590 N HIGHWAY 329, REDDICK, FL 32686-3053
- **Practice address phone:** (301) 938-3750
- **Mailing address:** 15590 N HIGHWAY 329, REDDICK, FL 32686-3053
- **Mailing address phone:** (301) 938-3750

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | R199962 | FL | Yes |
| 251S00000X | Community/Behavioral Health Agency | R199962 | FL | — |

## Other

- **Enumeration date:** 06/05/2014
- **Last updated:** 06/05/2014