| NPI | 1033698055 |
|---|---|
| Doing Business As | CASA SHALOM |
| Entity Type | Organization |
| Authorized Contact | MARIA ROSARIO ORTEGA 0wner 915-307-4944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2020-06-01 |