Shalom Living Center LLC
Contractor in Beaumont, TX. Organization (NPI-2).
NPI number1255043683
StatusActive
Last updated in NPPESDec 16, 2022
Details
- NPI
- 1255043683
- Entity type
- Organization (NPI-2)
- Legal business name
- Shalom Living Center LLC
- Organization subpart
- No
- Enumeration date
- Dec 16, 2022
- Certification date
- Dec 16, 2022
- Last updated
- Dec 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | – | – | Yes |
Other names
- Shalom Living Center (Other Name)
Practice location
4895 Garwood LnBeaumont, TX 77706-2736
Phone 409-658-4662
Mailing address
4895 Garwood LnBeaumont, TX 77706-2736
Phone 409-658-4662
Authorized official
Matilda Sanders
Owner
4096584662
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