# SHALOM HERITAGE LLC- FAITH HOME

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SHALOM HERITAGE, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1972478733
- **Legal business name:** SHALOM HERITAGE, LLC
- **Authorized official:** DAVID OGUNTOLA (CEO)
- **Authorized official phone:** (602) 989-7334

## Contact information

- **Practice address:** 5849 E 5TH ST, TUCSON, AZ 85711-2403
- **Practice address phone:** (602) 989-7334
- **Mailing address:** 2010 E DIAMOND DR, TEMPE, AZ 85283-3316
- **Mailing address phone:** (602) 989-7334

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 10/09/2025
- **Last updated:** 10/09/2025