Organization
SHALOM HEALING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRIA RANDOLPH (CEO/OWNER)
(804) 549-6413
Entity
Organization
Contact information
Practice address
1776 BERKELEY AVE, PETERSBURG, VA 23805-2806
(804) 988-3468
Mailing address
1776 BERKELEY AVE, PETERSBURG, VA 23805-2806
(804) 549-6413
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
04/03/2021
Last updated
04/03/2021
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