Organization
SHALOM COMMUNITY CARE INC
Active
Organization
SHALOM COMMUNITY CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL POBI (EXECUTIVE DIRECTOR)
(615) 499-2712
Entity
Organization
Contact information
Practice address
2201 MURFREESBORO PIKE STE A222, NASHVILLE, TN 37217-3463
(615) 678-5041
(615) 457-1193
Mailing address
2201 MURFREESBORO PIKE STE A222, NASHVILLE, TN 37217-3463
(615) 678-5041
(615) 457-1193
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
100000016879
TN
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
100000016879
TN
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
100000016879
TN
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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