Organization
SHALOM HOMES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESTINA SAYON JALLOH-JAMBORIA CRNP (CEO/DON)
(301) 543-0741
Entity
Organization
Contact information
Practice address
10400 BROOKHAVEN LN, UPPER MARLBORO, MD 20772-6658
(301) 543-0741
Mailing address
10400 BROOKHAVEN LN, UPPER MARLBORO, MD 20772-6658
(301) 543-0741
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
163W00000X
Registered Nurse
Primary
—
—
164W00000X
Licensed Practical Nurse
—
—
363L00000X
Nurse Practitioner
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
01/17/2018
Last updated
01/17/2018
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