Organization
SHALOM CARE SERVICES,LLC
Active
Other names
Relief Agency
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNOT JEAN PIERRE MAP CERTIFIED (PRESIDENT)
(617) 519-8284
Entity
Organization
Contact information
Practice address
272 BROADWAY UNIT 996, METHUEN, MA 01844-8044
(617) 519-8284
Mailing address
272 BROADWAY UNIT 996, METHUEN, MA 01844-8044
(617) 519-8284
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
38580427000
MA
Other
Enumeration date
10/01/2013
Last updated
10/01/2013
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