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Organization
SHALOM CARE SERVICES,LLC
Active
Organization
SHALOM CARE SERVICES,LLC
Active
Other names
Relief Agency
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNOT JEAN PIERRE MAP CERTIFIED (PRESIDENT)
(617) 519-8284
Entity
Organization
Contact information
Practice address
272 BROADWAY UNIT 996, METHUEN, MA 01844-8044
(617) 519-8284
Mailing address
272 BROADWAY UNIT 996, METHUEN, MA 01844-8044
(617) 519-8284
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
NULL
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
38580427000
MA
Other
Enumeration date
10/01/2013
Last updated
10/01/2013
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