# SHALOM NURSING CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shalom Nursing Care LLC, Shalom Nursing Care Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710644240
- **Authorized official:** EDDIE LAVALY (MANAGING DIRECTOR)
- **Authorized official phone:** (301) 957-5824

## Contact information

- **Practice address:** 6475 NEW HAMPSHIRE AVE STE 350F, HYATTSVILLE, MD 20783-3282
- **Practice address phone:** (301) 957-5824
- **Practice address fax:** (240) 468-7255
- **Mailing address:** 6475 NEW HAMPSHIRE AVE STE 350F, HYATTSVILLE, MD 20783-3282
- **Mailing address phone:** (301) 957-5824
- **Mailing address fax:** (240) 468-7255

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 374U00000X | Home Health Aide | — | NULL | — |
| 374U00000X | Home Health Aide | — | — | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 11/18/2021
- **Last updated:** 01/25/2024