Organization
SHALOM HOME CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA THOMAS (EXECUTIVE DIRECTOR)
(504) 365-0233
Entity
Organization
Contact information
Practice address
3501 HOLIDAY DR, SUITE 312, NEW ORLEANS, LA 70114-8202
(504) 365-0233
(504) 365-9954
Mailing address
3501 HOLIDAY DRIVE, SUITE 312, NEW ORLEANS, LA 70114-8242
(504) 365-0233
(504) 365-9954
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
6896
LA
251C00000X
Developmentally Disabled Services Day Training Agency
6900
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1502618
—
LA
Enumeration date
02/07/2007
Last updated
08/22/2020
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