Organization
SHALOM COMMUNITY LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUHUDI N JOSEPH (CEO)
(216) 413-6683
Entity
Organization
Contact information
Practice address
521 29TH ST NE, CEDAR RAPIDS, IA 52402-4817
(216) 413-6683
Mailing address
521 29TH ST NE, CEDAR RAPIDS, IA 52402-4817
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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