Organization
SHALOM HOME CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA THOMAS (EXECUTIVE DIRECTOR)
(504) 365-0233
Entity
Organization
Contact information
Practice address
3501 HOLIDAY DR, SUITE 312, NEW ORLEANS, LA 70114-8202
(504) 365-0233
(504) 365-9954
Mailing address
3501 HOLIDAY DR, SUITE 312, NEW ORLEANS, LA 70114-8202
(504) 365-0233
(504) 365-9954
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
SIL 6900
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1502626
—
LA
Enumeration date
04/25/2007
Last updated
08/22/2020
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