Organization
SHALOM LIVING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATILDA RENA SANDERS (OWNER)
(409) 832-0337
Entity
Organization
Contact information
Practice address
1810 EUCLID ST, BEAUMONT, TX 77705-1815
(409) 832-0337
Mailing address
1810 EUCLID ST, BEAUMONT, TX 77705-1815
(409) 832-0337
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
07/05/2010
Last updated
07/05/2010
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