Organization
SHALOM HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOVIA BASALIZA (OWNER)
(240) 559-7617
Entity
Organization
Contact information
Practice address
6346 W CATALINA DR, PHOENIX, AZ 85033-5712
(240) 559-7617
Mailing address
6346 W CATALINA DR, PHOENIX, AZ 85033-5712
Taxonomy
Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
Primary
—
—
Other
Enumeration date
03/12/2024
Last updated
03/12/2024
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