Organization · NPI-2
Shalom Health Care Management LLC
Substance Abuse Rehabilitation Facility · Beaumont, TX
NPI number1083324404
StatusActive
Last updated in NPPESMay 16, 2025
Details
- NPI
- 1083324404
- Entity type
- Organization (NPI-2)
- Legal business name
- Shalom Health Care Management LLC
- Organization subpart
- No
- Enumeration date
- Nov 28, 2022
- Certification date
- May 16, 2025
- Last updated
- May 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | Yes |
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – |
Other names
- Revive Recovery Center Of Beaumont (Doing Business As)
Practice location
950 Washington BlvdBeaumont, TX 77705-2251
Phone 409-402-0169 · Fax 409-600-2869
Mailing address
1500 S Dairy Ashford Rd Ste 200Houston, TX 77077-3858
Phone 409-402-0169
Authorized official
Abraham Nabil
Owner
7137053490
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