Organization
SHALOM HOMES CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMMANUEL CHRISTIAN MUHITIRA (CHIEF EXECUTIVE OFFICER)
(949) 231-2676
Entity
Organization
Contact information
Practice address
118 PIERCE ST APT 2, LEWISTON, ME 04240-7881
(949) 231-2676
Mailing address
118 PIERCE ST APT 2, LEWISTON, ME 04240-7881
(949) 231-2676
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
310500000X
Mental Illness Intermediate Care Facility
—
—
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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