# SHALOM CARES WELLNESS CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306400502
- **Authorized official:** MARC SCOTT PENNER (PRESIDENT/ CEO)
- **Authorized official phone:** (303) 680-5000

## Contact information

- **Practice address:** 14800 E BELLEVIEW DR, AURORA, CO 80015-2258
- **Practice address phone:** (303) 680-5000
- **Practice address fax:** (303) 699-6577
- **Mailing address:** 14800 E BELLEVIEW DR, AURORA, CO 80015-2258
- **Mailing address phone:** (303) 680-5000
- **Mailing address fax:** (303) 699-6577

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NULL | Yes |

## Other

- **Enumeration date:** 04/24/2019
- **Last updated:** 04/24/2019