NPI 1457663635

Shalom Living Center

Organisation Preferred Provider Organization Beaumont, TX

Practice location

Address: 1810 Euclid St, Beaumont, TX 77705-1815
Phone: (409) 832-0337

Authorised official

Name: Matilda Rena Sanders
Title: Owner
Phone: (409) 832-0337

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

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Registry record

NPI: 1457663635
Entity type: Organization
NPI issued: 5 Jul 2010
Record last updated: 5 Jul 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.