Organization
SHALOM RESIDENTIAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THIERRY MUKAMA (OWNER)
(901) 279-3020
Entity
Organization
Contact information
Practice address
4940 BARRINGTON CV, MEMPHIS, TN 38125-3701
(901) 279-3020
Mailing address
4940 BARRINGTON CV, MEMPHIS, TN 38125-3701
(901) 279-3020
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
04/28/2026
Last updated
04/28/2026
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