Provider Demographics
NPI:1730314956
Name:SHALOM HEALTH CARE SERVICES INC
Entity Type:Organization
Organization Name:SHALOM HEALTH CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:JUSTINE
Authorized Official - Middle Name:NAGWA
Authorized Official - Last Name:NJAFUH
Authorized Official - Suffix:
Authorized Official - Credentials:RN/BSM
Authorized Official - Phone:301-495-5559
Mailing Address - Street 1:7835 EASTERN AVE
Mailing Address - Street 2:201
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-4825
Mailing Address - Country:US
Mailing Address - Phone:301-495-5559
Mailing Address - Fax:301-495-5590
Practice Address - Street 1:7835 EASTERN AVE
Practice Address - Street 2:201
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-4825
Practice Address - Country:US
Practice Address - Phone:301-495-5559
Practice Address - Fax:301-495-5590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-18
Last Update Date:2009-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2521251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health