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Organization
SHALOM HOME CARE CORPORATION LLC DBA SHALOM HOME CARE
Active
Organization
SHALOM HOME CARE CORPORATION LLC DBA SHALOM HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GILBERT J PACHECO (OWNER/OPERATOR)
(719) 542-2715
Entity
Organization
Contact information
Practice address
134 LAMAR AVE, PUEBLO, CO 81004-1907
(719) 542-2715
(719) 543-6358
Mailing address
134 LAMAR AVE, PUEBLO, CO 81004-1907
(719) 542-2715
(719) 543-6358
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
230659
CO
Other
Enumeration date
01/18/2016
Last updated
01/18/2016
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