Organization
SHALOM HOSPICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL STERN (CEO)
(510) 499-9977
Entity
Organization
Contact information
Practice address
5409 MARYLAND WAY STE 212, BRENTWOOD, TN 37027-5068
(510) 499-9977
Mailing address
5409 MARYLAND WAY STE 212, BRENTWOOD, TN 37027-5068
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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