Provider Demographics
NPI:1740584291
Name:SHALOM HEALTH CARE SERVICES LLC
Entity Type:Organization
Organization Name:SHALOM HEALTH CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
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
Authorized Official - Phone:202-492-0467
Mailing Address - Street 1:13018 ALPENHORN WAY
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-7311
Mailing Address - Country:US
Mailing Address - Phone:202-492-0467
Mailing Address - Fax:301-890-5180
Practice Address - Street 1:8028 EASTERN AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20012-1311
Practice Address - Country:US
Practice Address - Phone:202-492-0467
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-26
Last Update Date:2010-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management