Organization
SHALOM NURSING CARE INC
Active
Other names
Shalom Nursing Care, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESTINA SAYON JALLOH-JAMBORIA NP (NURSE PRACTITIONER)
(301) 543-0741
Entity
Organization
Contact information
Practice address
10400 BROOKHAVEN LN, UPPER MARLBORO, MD 20772-6658
(301) 543-0741
Mailing address
10400 BROOKHAVEN LN, UPPER MARLBORO, MD 20772-6658
(301) 543-0741
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
251E00000X
Home Health Agency
Primary
R203541
MD
363LA2200X
Adult Health Nurse Practitioner
—
—
363LC1500X
Community Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
374U00000X
Home Health Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5893006600
—
MD
Enumeration date
03/06/2017
Last updated
09/03/2019
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