| NPI | 1356094551 |
|---|---|
| Doing Business As | SHALOM DESTINY DIAGNOSTIC LAB |
| Former Legal Business Name | SHALOM DESTINY NURSING CONSULTANT AND TRAINING SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | NICOLA CARTER Clinical Director 434-944-8511 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2022-01-28 |
| Last Update Date | 2023-01-24 |