Organization
SHALOM CARE AGENCY LLC
Active
Other names
Shalom Care Agency LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY AIBUEDEFE (ADMINISTRATOR)
(408) 449-3467
Entity
Organization
Contact information
Practice address
5903 SADDLE BRED DR, HOUSTON, TX 77084-3188
(877) 306-3566
(877) 306-3566
Mailing address
5903 SADDLE BRED DR, HOUSTON, TX 77084-3188
(877) 306-3566
(877) 306-3566
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/17/2021
Last updated
01/04/2024
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